Kelly Fairbanks, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22374 Issued in TN

Practice address

2300 Patterson St
Nashville, TN 37203-1538

Phone

(844) 673-6968

Fax

(844) 673-6968

NPI assigned

May 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

IntegumetrixGroup PAC ID 1759669773, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integumetrix

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1366895716
  Medicare reassignment Care Compare group NPD

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

• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1720032345
  Care Compare affiliation

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1609302884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371671711",
            "telephone_number": "844-673-6968",
            "fax_number": "844-673-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031538",
            "telephone_number": "844-673-6968",
            "fax_number": "844-673-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "KELLY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham P Fain, DO
• Michelle Joy Baylon Faina, PA
• Chelsea Fair
• Patrick Fair
• Fairbanks Ocular Prosthetics, Inc.
• Erin Leann Fairbrother, M.D.
• Samuel Walton Fairbrother
• Morgan Emily Faircloth
• Ronald B Fairs
• Faith Family Medical Clinic

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.