Individual provider Active NPI

Kelli S. Millett, R.N.C., M.S.N.

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1821288127
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6409 Issued in TN
Practice address
345 23Rd Ave N Ste 401
Nashville, TN 37203-1513
Phone
(615) 277-2439
Fax
(615) 320-0240
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6409 TN Primary

Addresses

Primary practice location

345 23Rd Ave N Ste 401
Nashville, TN 37203-1513

Mailing address

345 23Rd Ave N Ste 401
Nashville, TN 37203-1513
Phone (615) 277-2439

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
6409TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1821288127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-277-2439",
            "fax_number": "615-320-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-277-2439",
            "fax_number": "615-320-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETT",
        "first_name": "KELLI",
        "middle_name": "S.",
        "credential": "R.N.C., M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6409",
            "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 Apr 17, 2012; 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.