Colleen Kelly-Teiken

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254709 Issued in OH

Practice address

22 Century Blvd Ste 220
Nashville, TN 37214-3787

Phone

(419) 308-5714

NPI assigned

May 2, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403
  NPD

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1992440200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CENTURY BLVD STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143787",
            "telephone_number": "419-308-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CENTURY BLVD STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143787",
            "telephone_number": "419-308-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-TEIKEN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "254709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell Aaron Kelley, LPC
• Kelli a. Turner, DDS, PC
• David E Kellman, APRN
• Ryan Allen Kelln, D.O.
• Kathryn Murray Kellogg, M.D., M.P.H.
• Alexys Kelly, DDS
• Bridget Kelly, B.C.B.A.
• Burnett S Kelly, MD
• Casey Marie Kelly, RN
• Cecilia Jacqueline Kelly, NP

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.