Individual provider Active NPI

Kelli Nicole Dunn, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1922468958
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40283 Issued in TN
Practice address
204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone
(615) 212-8887
NPI assigned
Mar 3, 2016
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Registered Nurse 163W00000X 281556 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40283 TN Primary

Addresses

Primary practice location

204 Bluebird Dr
Goodlettsville, TN 37072-2302

Mailing address

204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone (615) 212-8887

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
I20260618004686 TN Practitioner - Nurse Practitioner 5799027801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1144 Fairways
Lebanon, TN 37087-2262

204 Bluebird Dr
Goodlettsville, TN 37072-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
281556TNMDRegistered Nurse
40283TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Minds Mental Health LLC CurrentSince May 13, 2026 Accepting new patients

Locations

204 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1922468958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-212-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-212-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "281556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "40283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.