Kelli Willimon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000017752 Issued in TN

Practice address

3565 N Mount Juliet Rd
Mt Juliet, TN 37122-3047

Phone

(615) 773-9623

Fax

(615) 758-0065

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garlington Haller Ventures, LLC

  • Family Medicine Physician
  • Mt Juliet, TN
  • NPI 1821958810
  NPD (past)
• Premise Health of Tennessee Medical PC

  • Multi-Specialty Clinic/Center
  • Mt Juliet, TN
  • NPI 1447907142
  NPD (past)
• Baptist Easley

  • Hospitalist Physician
  • Easley, SC
  • NPI 1154859031
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1497790554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277572",
            "telephone_number": "615-661-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223047",
            "telephone_number": "615-773-9623",
            "fax_number": "615-758-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIMON",
        "first_name": "KELLI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "17752",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "2952",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -PERSONAL-",
            "identifier": "1497790554",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "195624",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markia Tichelle Williams
• Melissa Williams, APRN, PMHNP-BC
• Ryan Williams, DPT
• Tess Leighan Williams, FNP
• Tori Williams, PHYSICAL THERAPIST
• Wilson County Eye Associates, LLC
• Ashley Wilson
• Hailey Wilson
• James Courtney Wilson, MD
• Kaitlyn Wilson, M.ED.

• Family Nurse Practitioner in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.