Individual provider Active NPI

Kelli Jean Thomas, ND

  • Health & Wellness Coach
  • Nashville, TN
National Provider Identifier
1962120352
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
813 Running Deer
Nashville, TN 37221-2234
Phone
(615) 804-5941
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X NU Primary

Addresses

Primary practice location

813 Running Deer
Nashville, TN 37221-2234

Mailing address

813 Running Deer
Nashville, TN 37221-2234
Phone (615) 804-5941

Other practice location 1

975 Blackberry Hill Rd
Silver Point, TN 38582-7928
Phone (615) 804-5941

Other identifiers 2

IdentifierTypeStateIssuer
0105868733OtherWELLNESS PRACTITIONER
71400000XOtherWELLNESS PRACTITIONER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://doxy.me/kellithomashummer

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

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1962120352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 RUNNING DEER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212234",
            "telephone_number": "615-804-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 RUNNING DEER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212234",
            "telephone_number": "615-804-5941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Blackberry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Point",
            "state": "TN",
            "postal_code": "385827928",
            "country_code": "US",
            "telephone_number": "615-804-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PRACTITIONER",
            "identifier": "0105868733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PRACTITIONER",
            "identifier": "71400000X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/kellithomashummer",
            "affiliation": "N",
            "endpointDescription": "Telehealth format",
            "address_1": "813 Running Deer",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372212234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 22, 2022; 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.