Individual provider Active NPI

Bridget Kelly, B.C.B.A.

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1790057537
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
442 Issued in TN
Practice address
1321 Murfreesboro Pike Ste 203
Nashville, TN 37217-2720
Phone
(615) 656-0227
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X 442 TN Primary

Addresses

Primary practice location

1321 Murfreesboro Pike Ste 203
Nashville, TN 37217-2720

Mailing address

508 Autumn Springs CT Ste 2a
Franklin, TN 37067-8273
Phone (731) 441-0054

Other practice location 1

1820 Memorial Dr
Suite 203
Clarksville, TN 37043-6326
Phone (931) 933-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
442TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Health Connect America, Inc PastSince Sep 1, 2019 Accepting new patients
Health Connect America, Inc PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1790057537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT STE 2A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678273",
            "telephone_number": "731-441-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172720",
            "telephone_number": "615-656-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Memorial Dr",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370436326",
            "country_code": "US",
            "telephone_number": "931-933-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIDGET",
        "credential": "B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.