Individual provider Active NPI

Kelly Jean Vrettos, NP-C

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1801323399
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
159207 Issued in TN
Practice address
8066 Walnut Run Rd Ste 100
Cordova, TN 38018-8842
Phone
(901) 219-6515
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 159207 TN Primary
Medical-Surgical Registered Nurse 163WM0705X 159207 TN

Addresses

Primary practice location

8066 Walnut Run Rd Ste 100
Cordova, TN 38018-8842

Mailing address

8066 Walnut Run Rd Ste 100
Cordova, TN 38018-8842
Phone (901) 219-6515

Other practice location 1

8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 747-1111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171107003212 TN Practitioner - Nurse Practitioner 9133485121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Well Rested Sleep Specialists PLLCGroup PAC ID 3072001718, 3 clinicians

Practice addresses (Care Compare)

8066 Walnut Run Rd
Suite 100
Cordova, TN 38018-8842
Phone (901) 881-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
159207TNMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Well Rested Sleep Specialists Family Current Accepting new patients
Well Rested Sleep Specialists PLLC Family CurrentSince Aug 17, 2025 Accepting new patients
Neurology Clinic, PC CurrentSince May 1, 2023 Accepting new patients
Neurology Clinic, PC CurrentSince May 1, 2023 Accepting new patients

Locations

8066 Walnut Run Rd
Ste 100
Cordova, TN 38018
Phone (901) 753-9821

8000 Centerview Pkwy
Ste 500
Cordova, TN 38018
Phone (901) 747-1111

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1801323399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 WALNUT RUN RD STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188842",
            "telephone_number": "901-219-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8066 WALNUT RUN RD STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188842",
            "telephone_number": "901-219-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Centerview Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184254",
            "country_code": "US",
            "telephone_number": "901-747-1111",
            "fax_number": "901-747-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VRETTOS",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "159207",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TN",
            "license": "159207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.