Denna Kellum

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024181501 Issued in VA

Practice address

2202 Marshallville Rd
Perry, GA 31069-9517

Phone

(478) 722-9399

NPI assigned

Jul 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1669107546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 MARSHALLVILLE RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699517",
            "telephone_number": "785-350-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MARSHALLVILLE RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699517",
            "telephone_number": "478-722-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 SW Gage Blvd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666220001",
            "country_code": "US",
            "telephone_number": "785-350-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "DENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024181501",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024181501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kardia Psyche LLC.
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• Cassandra Kay
• Natalie Keadle, CCC-SLP
• Heather Ann Kellen, PT
• Sana S. Khadair
• Samantha Lea King, PT
• Michael L Kinsley, D.M.D.
• Daniel J Kiser
• Know Your Worth Counseling and Coaching

• Adult Health Nurse Practitioner in Perry, GA
• Providers in Perry, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.