KELLY FAIRBANKS (NPI# 1609302884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609302884 |
| Entity Type | Individual |
| Full Name | KELLY FAIRBANKS |
| Credential | APN |
| Practice Address |
2300 Patterson St Nashville TN 37203-1538 |
| Mailing Address |
3005 Ambrose Ave Nashville TN 37207-4709 |
| Practice Telephone | 8446736968 |
| Practice Fax Number | 8446736968 |
| Mailing Telephone | 8446736968 |
| Mailing Fax Number | 8446736968 |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22374 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 PATTERSON ST |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983119 | Natalie P Kittrell | Pharmacist | 2300 Patterson St, Nashville, TN 37203-1538 | 2005-06-22 |
| 1164029021 | Med-trans Corporation | Ambulance | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-10-05 |
| 1558980235 | Taryn Lee Stevens | Nurse Practitioner | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-04-13 |
| 1942830278 | Rachel Frances Downing | Registered Nurse | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-01-26 |
| 1497385249 | Rebecca Nicole Mullin | Registered Nurse | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-01-21 |
| 1467092031 | Hanna Yager | Internal Medicine | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-01-13 |
| 1780221309 | Amelia Lee Burrows | Nurse Anesthetist, Certified Registered | 2300 Patterson St, Nashville, TN 37203-1538 | 2019-12-02 |
| 1477196483 | Bethany Anne Carroll | Registered Nurse | 2300 Patterson St, Nashville, TN 37203-1538 | 2019-10-22 |
| 1538710819 | Katherine Lemaire Sullivan | Registered Nurse | 2300 Patterson St, Nashville, TN 37203-1538 | 2019-09-27 |
| 1730742479 | Kelsey Shasteen | Registered Nurse | 2300 Patterson St, Nashville, TN 37203-1538 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| 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.