Individual provider Active NPI

Kelli Askam, FNP-BC

  • Family Nurse Practitioner
  • Atoka, TN
National Provider Identifier
1902610199
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38080 Issued in TN
Practice address
11630 Highway 51 S
Atoka, TN 38004-7129
Phone
(901) 837-5020
NPI assigned
Feb 6, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38080 TN Primary

Addresses

Primary practice location

11630 Highway 51 S
Atoka, TN 38004-7129

Mailing address

PO Box 932958
Cleveland, OH 44193-7644

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
I20250417000264 TN Practitioner - Nurse Practitioner 3072043702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

11630 Hwy 51 S
Atoka, TN 38004-7129
Phone (901) 837-5020

1618 Hwy 51 S
Suite Ab
Covington, TN 38019-3237
Phone (931) 332-0961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38080TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 30, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 30, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Mar 13, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

11630 Highway 51 S
Atoka, TN 38004
Phone (901) 837-5010

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1618 Highway 51 S
Ste Ab
Covington, TN 38019
Phone (931) 332-0961

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Organizations & group practices 5

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1902610199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441937644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 HIGHWAY 51 S",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047129",
            "telephone_number": "901-837-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASKAM",
        "first_name": "KELLI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

Verify at the official NPI Registry.