Kelly B Pickett, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17426 Issued in TN

Practice address

215 S Cedar LN
Pulaski, TN 38478-3502

Phone

(931) 363-2511

Fax

(931) 424-6109

NPI assigned

Apr 2, 2013

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians and Surgeons IncGroup PAC ID 6305859935, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare of Columbia Home health agency, Columbia, TN, CCN 447125
• Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Physicians & Surgeons, Inc.

  • Family Medicine Physician
  • Pulaski, TN
  • NPI 1063451466
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

• Hillside Hospital LLC

  • Rural Acute Care Hospital
  • Pulaski, TN
  • NPI 1841388519
  Care Compare affiliation
• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Dickson, TN
  • NPI 1164448437
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lewisburg, TN
  • NPI 1205852589
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Columbia, TN
  • NPI 1669498937
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Pulaski, TN
  • NPI 1730105016
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lawrenceburg, TN
  • NPI 1962428243
  Care Compare affiliation

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1699018291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S CEDAR LN",
            "address_2": "P.O. BOX 577",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783502",
            "telephone_number": "931-363-2511",
            "fax_number": "931-424-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S CEDAR LN",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783502",
            "telephone_number": "931-363-2511",
            "fax_number": "931-424-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "KELLY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumitra Patel, CRNP
• Ashley Phelps, FNP-BC
• Elizabeth Raznick Phillips, MSN,FNP-C
• Terri-Lynn Philpott, MD
• Physicians & Surgeons, Inc.
• Alyssa Jade Pigg, COTA/L
• Kelly Marie Plaster
• Jeremy Michael Poole, BS
• Premier Internal Medicine of Giles County
• Premier Internal Medicine of Giles County, PLLC

• Family Nurse Practitioner in Pulaski, TN
• Providers in Pulaski, 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 Apr 2, 2013; 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.