SAMANTHA CAITLIN KELLEY (NPI# 1265926208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265926208 |
| Entity Type | Individual |
| Full Name | SAMANTHA CAITLIN KELLEY |
| Practice Address |
3443 Dickerson Pike Ste 680 Nashville TN 37207 |
| Mailing Address |
523a W Hollis Chapel Rd Portland TN 37148-5348 |
| Practice Telephone | 6158653322 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
198215 | TN | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
24559 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100550900 | 05 | |
| TN | Q044832 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670167 | Samantha Kelley | Specialist/Technologist | 140 Hill St Ste B, Bucyrus, OH 44820-1566 | 2017-03-11 |
| 1699173393 | Samantha A.h. Kelley | Counselor | 100 Andrew St # 2, Albertville, AL 35950-1971 | 2014-12-11 |
| 1134787740 | Samantha Kelley | Specialist/Technologist | 100 N D St, Washtucna, WA 99371-9524 | 2019-05-30 |
| 1730608399 | Samantha Kelley | Behavioral Analyst | 6600 W Charleston Blvd, Las Vegas, NV 89146-9001 | 2017-09-14 |
| 1962850644 | Samantha Kelley | Community Health Worker | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2016-06-02 |
| 1679767024 | Samantha C. Kelley | Specialist/Technologist | 212 Carter Dr, Suite C, Middletown, DE 19709-5837 | 2007-08-29 |
| Street Address |
3443 DICKERSON PIKE STE 680 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457524464 | Brent Vaziri | Family Medicine | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2008-04-10 |
| 1326669425 | Brandy M. Camperlino | Registered Nurse | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2020-04-29 |
| 1922630417 | Brooke N Counce | Nurse Practitioner | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2020-02-12 |
| 1477183226 | Gina Marie Garza | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2020-01-21 |
| 1366089161 | Trudylee F. Chandler | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2019-11-30 |
| 1902455652 | Amy Frierson | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2019-09-05 |
| 1144872177 | Sarah Elizabeth Auville | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2019-07-10 |
| 1659853885 | Sarah Elizabeth Noble | Registered Nurse | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2018-09-04 |
| 1093164550 | Danielle L. Fabry | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207 | 2016-06-06 |
| 1699148619 | Kimberly K. Pace | Hospitalist | 3443 Dickerson Pike Ste 680, Nashville, TN 37207-2537 | 2015-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| 1720548225 | Jonathan Kipp Shipley | Nurse Practitioner | 1161 21st Ave S Rm T-1218, Nashville, TN 37232-0001 | 2019-03-21 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1972013605 | Madeline Grace Crego | Nurse Practitioner | 1215 21st Ave, Mcen, Suite 5140, Nashville, TN 37232-8802 | 2017-10-09 |
| 1528598570 | Richard Jason Ramirez | Nurse Practitioner | 1210 Medical Center Dr, Nashville, TN 37232-2080 | 2017-06-13 |
| 1669918959 | Jessi-ann B'dot Michaelson | Nurse Practitioner | 4220 Harding Pike Ste 330, Nashville, TN 37205-2005 | 2017-01-11 |
| 1720437411 | Nichole Johnson | Nurse Practitioner | 2200 Childrens Way # Way7, Nashville, TN 37232-0005 | 2016-06-03 |
| 1205209681 | Janine Terry | Nurse Practitioner | Mrb Iv Rm 1030c, Campus Box 0252, Nashville, TN 37232-0001 | 2015-11-05 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.