Kellems Geriatric Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KELLEMS GERIATRIC HEALTHCARE

Practice address

8715 Brays Fork Dr
Glen Allen, VA 23060-3693

Phone

(804) 432-4113

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Glen Kellems, MSN,NP-C

Title

President

Phone

(804) 432-4113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1699245936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 N GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337017",
            "telephone_number": "804-432-4113",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 BRAYS FORK DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603693",
            "telephone_number": "804-432-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEMS GERIATRIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "KELLEMS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-432-4113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN,NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sultana Karim, LCPC, LPC
• Morgan Elizabeth Kazelskis
• Andrew Keam, MD
• Jeffrey Robert Keith Jr., PHARMD
• Robert Ryan Kell, PHARMD
• Jeremy Glen Kellems, NP
• Leslie Kelley, FNP
• Meara Kelley
• Kelly Griffith Speech Therapy Services LLC
• Hannah Marshall Kenney

• Family Nurse Practitioner in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.