Christopher Paul Kelly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN 96601 Issued in TN

Practice address

161 Mount Pelia Rd
Martin, TN 38237-3811

Phone

(731) 588-0001

Fax

(731) 587-2775

NPI assigned

Apr 19, 2006

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Dr. Mark Armstrong MD PC

  • Anesthesiology Physician
  • Union City, TN
  • NPI 1144357799

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Evexia Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Crossville, TN
  • NPI 1588524037

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kentenn Anesthesia

  • Certified Registered Nurse Anesthetist
  • Union City, TN
  • NPI 1346511011

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lifelinc Anesthesia VIII PLLC

  • Anesthesiology Physician
  • Newport, TN
  • NPI 1679265052

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Martin Anesthesia Group Inc

  • Certified Registered Nurse Anesthetist
  • Martin, TN
  • NPI 1326107327

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Stage Two Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1063709392

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Union City Anesthesia Group

  • Anesthesiology Physician
  • Union City, TN
  • NPI 1144429358

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1942265244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 POPLAR ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373811",
            "telephone_number": "731-588-0001",
            "fax_number": "731-587-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN 96601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3631898",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD TN",
            "identifier": "4047865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenn Mitchell Johnson, CRNA
• Emily Belote Johnson, COTA
• Rebecca N Johnson, CNMW
• Robert Jones Mark Jones
• Tisha Julian, PTA
• Kathleen Kempton, D.C
• Kendell Kessler MD
• Billie Jo Kennett, APN
• Kendell Kessler, M.D.
• Jennifer Kimsey

• Certified Registered Nurse Anesthetist in Martin, TN
• Providers in Martin, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.