Briana Kellum-Gosnell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2210 Goldsmith LN Ste 222
Louisville, KY 40218-1070

Phone

(502) 472-3845

NPI assigned

Jun 29, 2018

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1811482987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 222",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181070",
            "telephone_number": "502-712-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 222",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181070",
            "telephone_number": "502-472-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM-GOSNELL",
        "first_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17000315413",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gail Kellie, M.D.
• Lesley Anne Ramos Kellie
• Scott P Kellie, M.D.
• Michael Jesse Kellihan, PHARM.D.
• Thomas Carl Kellogg, CRNA
• Kelly Nelson LLC
• Kelly Sullivan, Otr
• Amber Christine Kelly
• Ashley Ann Kelly, CRNA
• Brittany Kelly

• Case Manager/Care Coordinator in Louisville, KY
• Providers in Louisville, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.