KELLY M MCCALLUM (NPI# 1396900700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396900700 |
| Entity Type | Individual |
| Full Name | KELLY M MCCALLUM |
| Other Name | KELLY M GRIFFIN |
| Credential | APN |
| Practice Address |
2490 Parr Ave Suite 3 Dyersburg TN 38024-2029 |
| Practice Telephone | 7312868007 |
| Practice Fax Number | 7312868019 |
| Mailing Telephone | 7312868007 |
| Mailing Fax Number | 7312868019 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 13555 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | MG1805134 | 01 |
| Street Address |
2490 PARR AVE SUITE 3 |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922475532 | Tiffany Anderson Hill | Nurse Practitioner | 2490 Parr Ave, Suite 3, Dyersburg, TN 38024-2029 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1093845695 | The Clinic, Pllc | Nurse Practitioner | 520 E Parkview St, Dyersburg, TN 38024-3114 | 2007-03-06 |
| 1861487282 | Lynda J Hughes | Nurse Practitioner | 1716 Parr Ave Ste B, Dyersburg, TN 38024 | 2005-09-12 |
| 1225263080 | Mccoy Medical | Nurse Practitioner | 1385 Flowering Dogwood Ln, Suite C, Dyersburg, TN 38024-6409 | 2009-05-22 |
| 1164586186 | Dogwood Clinic Inc | Nurse Practitioner | 1385 Flowering Dogwood Ln, Suite D, Dyersburg, TN 38024-6409 | 2006-12-21 |
| 1427079052 | Dyersburg Hospital Corporation | Nurse Practitioner | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY M MCCALLUM.
| 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.