Kelli Chamberlain Wolfe, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

18565 Issued in TN

Practice address

125 Huxley Rd
Knoxville, TN 37922-3197

Phone

(865) 691-3335

Fax

(865) 691-3310

NPI assigned

Apr 24, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, 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.

• Blackmon Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Powell, TN
  • NPI 1437167194
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1699195099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HUXLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223197",
            "telephone_number": "865-691-3335",
            "fax_number": "865-691-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HUXLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223197",
            "telephone_number": "865-691-3335",
            "fax_number": "865-691-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KELLI",
        "middle_name": "CHAMBERLAIN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "174387",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "18565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolfe Medical, Inc.
• Amanda Paige Wolfe
• Courtney Rose Wolfe, CCMA
• Gaylynn Wolfe, BS
• John Frederick Wolfe, M.D.
• Laura Victoria Wolfe, MS, ASSOCIATE LMFT
• Lynlee Marie Wolfe, M.D.
• Melissa Nicole Wolfe, CCC-SLP
• Rosemary Ann Wolfe
• Angel Renea Wolfenbarger

• Pediatric Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.