Individual provider Active NPI

Kelley Von Scott, APN

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1568534428
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000008317 Issued in TN
Practice address
3362 S 3Rd St
Christ Community Health Services Inc
Memphis, TN 38109-2944
Phone
(901) 271-6300
Fax
(901) 260-8590
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000008317 TN Primary

Addresses

Primary practice location

3362 S 3Rd St
Christ Community Health Services Inc
Memphis, TN 38109-2944

Mailing address

6078 Flynthill Dr
Bartlett, TN 38135-2314
Phone (901) 385-6257

Other identifiers 1

IdentifierTypeStateIssuer
1509516MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000696 TN Practitioner - Nurse Practitioner 0345301842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1325 Jefferson Ave
Memphis, TN 38104-2013
Phone (901) 842-3167

2861 Broad Ave
Memphis, TN 38112-2903
Phone (901) 842-3168

3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000008317TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services, Inc CurrentSince Nov 10, 2008 Accepting new patients
Christ Community Health Services Inc CurrentSince Nov 10, 2008 Accepting new patients
Christ Community Health Services Inc Current Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500

Interoperability endpoints

  • Direct secure messaging: kelley.scott@christchs.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1568534428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6078 FLYNTHILL DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352314",
            "telephone_number": "901-385-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 S 3RD ST",
            "address_2": "CHRIST COMMUNITY HEALTH SERVICES INC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381092944",
            "telephone_number": "901-271-6300",
            "fax_number": "901-260-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KELLEY",
        "middle_name": "VON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000008317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509516",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.