Active NPI
Klhee Bang, NP-C
- Family Nurse Practitioner
- Hermitage, TN
National Provider Identifier
1821532078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000021995
- Practice address
- 4402 Lebanon Pike
Hermitage, TN 37076-1475 - Phone
- (615) 889-4864
- NPI assigned
- Dec 7, 2016
- Last updated
- Jun 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000021995 | TN | Primary |
Addresses
Primary practice location
4402 Lebanon Pike
Hermitage, TN 37076-1475
Mailing address
1317 Sula Dr
Hermitage, TN 37076-1570
Phone (786) 205-1679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821532078 | Medicaid | TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000021995 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Sleep Care PC | Current | Accepting new patients |
Locations
10 Cadillac Dr
Ste 350
Brentwood, TN 37027
Phone (615) 523-5656
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1821532078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 SULA DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761570",
"telephone_number": "786-205-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 LEBANON PIKE",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761475",
"telephone_number": "615-889-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANG",
"first_name": "KLHEE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2023-06-23",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000021995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821532078",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.