KELLY PULLEY (NPI# 1467829515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467829515 |
| Entity Type | Individual |
| Full Name | KELLY PULLEY |
| Other Name | KELLY POTTS |
| Credential | NP |
| Practice Address |
2017 South College St Trenton TN 38382 |
| Mailing Address |
79 Highway 51 South Ripley TN 38063 |
| Practice Telephone | 7312225000 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20388 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
20388 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q017588 | 05 |
| Street Address |
2017 SOUTH COLLEGE ST |
| City | TRENTON |
| State | TN |
| Zip Code | 38382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1184091332 | John Robert Barnett | Pharmacist | 2045 S. Highway 45, Trenton, TN 38382 | 2015-08-24 |
| 1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
| 1851641609 | Lauren Ashley Sanders | Licensed Practical Nurse | 244 Loop Rd, Trenton, TN 38382 | 2012-09-19 |
| 1598090920 | Rha Trenton Mr Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1130 High St, Trenton, TN 38382 | 2009-10-02 |
| 1053646489 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 307 E Eaton St, Trenton, TN 38382 | 2009-10-02 |
| 1134454564 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1043545478 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1316272743 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass A, Trenton, TN 38382 | 2009-10-02 |
| 1225363658 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass B, Trenton, TN 38382 | 2009-10-02 |
| Find all providers in zip 38382 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249223 | Brook Michelle Ferry | Nurse Practitioner | 5 Appleton Dr, Trenton, NJ 08610-2501 | 2019-11-11 |
| 1356808760 | Vanessa Marie Ratcliff | Nurse Practitioner | 925 Delhi Dr, Trenton, OH 45067-9348 | 2019-02-22 |
| 1184190696 | Mary Alicia-dana Kirk | Nurse Practitioner | 2445 Riverside Dr Apt 301, Trenton, MI 48183-2761 | 2018-10-23 |
| 1043704216 | Elizabeth Ann Davis | Nurse Practitioner | 5400 Fort St Ste 130, Trenton, MI 48183-4627 | 2018-06-20 |
| 1952825150 | Rondella Thompson | Nurse Practitioner | 40 Fuld St Ste 201, Trenton, NJ 08638-5247 | 2017-07-29 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1326406372 | Wanda Graupman | Nurse Practitioner | 2017 S College St, Trenton, TN 38382-3934 | 2016-02-05 |
| 1962800060 | Laura Jansen | Nurse Practitioner | 409 E Broadway, Trenton, IL 62293 | 2014-12-05 |
| 1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| Find all providers in TRENTON | ||||
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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.