Lauren Ashley Kellum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-148328 Issued in AL

Practice address

3007 Memorial Pkwy SW Ste B
Huntsville, AL 35801-5394

Phone

(256) 799-2500

NPI assigned

Jan 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Children'S Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  Medicare reassignment NPD
• Empower2, LLC.

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1669985503
  Medicare reassignment NPD
• Kids Cove Pediatrics, PLLC

  • Pediatrics Physician
  • Brownsboro, AL
  • NPI 1326699190
  NPD (past)

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1982178935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COZY CREEK RD",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591331",
            "telephone_number": "256-797-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 MEMORIAL PKWY SW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015394",
            "telephone_number": "256-799-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keithley Family Medical Inc
• Judy J Keller, LCSW, PIP
• Jaron Kelley, DPT
• Whitley Vera Kelley, MS, CGC
• Kelley'S Optical
• Kelly Psychiatric Services, LLC
• Kelly S Fisher LLC
• Carmalita Kelly, CRNP
• Frank J. Kelly II, MD
• James Tracy Kelly, OTR

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.

Verify at the official NPI Registry.