Active NPI
Kelly Jean Vrettos, NP-C
- Family Nurse Practitioner
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 159207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 159207 | TN | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Rested Sleep Specialists | Family | Current | Accepting new patients |
| Well Rested Sleep Specialists PLLC | Family | Current | Accepting new patients |
| Neurology Clinic, PC | Current | Accepting new patients | |
| Neurology Clinic, PC | Current | 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
- 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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Cordova, TN
- NPI 1437041068
Family, TN
-
- Durable Medical Equipment & Medical Supplies
- Cordova, TN
- NPI 1538798558
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Cordova, TN
- NPI 1568266450
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.