KELLI R CHUNN (NPI# 1942287867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942287867 |
Entity Type | Individual |
Full Name | KELLI R CHUNN |
Credential | ACNP |
Practice Address |
106 W Main St Louisville MS 39339-2620 |
Mailing Address |
Po Box 470 Louisville MS 39339-0470 |
Practice Telephone | 6627735704 |
Practice Fax Number | 6627739463 |
Mailing Telephone | 6627736211 |
Mailing Fax Number | 6624461039 |
Enumeration Date | 2005-12-30 |
Last Update Date | 2015-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R762267 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00124186 | 05 | |
RAILROAD MEDICARE | P00191926 | 01 |
Street Address |
106 W MAIN ST |
City | LOUISVILLE |
State | MS |
Zip Code | 39339-2620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700255916 | Kathryn Armstrong | Nurse Practitioner | 106 W Main St, Louisville, MS 39339-2620 | 2015-09-17 |
1124427133 | Kimberly Dawn Robertson | Nurse Practitioner | 106 W Main St, Louisville, MS 39339-2620 | 2014-08-14 |
1013340892 | Main Street Medical, LLC | Family Medicine | 106 W Main St, Louisville, MS 39339-2620 | 2013-08-15 |
1588991731 | Ashley T Davis | Nurse Practitioner | 106 W Main St, Louisville, MS 39339-2620 | 2009-11-09 |
1700019478 | Emily Davis Perkins | Nurse Practitioner | 106 W Main St, Louisville, MS 39339-2620 | 2009-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
Find all providers in zip 39339 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750914040 | The Ortho Np, LLC | Nurse Practitioner | 1904 Meadowgate Ln, Louisville, KY 40223-1122 | 2020-02-15 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1699282988 | Victoria Michelle Jones | Nurse Practitioner | 7004 Austinwood Rd, Louisville, KY 40214-5930 | 2018-01-08 |
1295100345 | Ashley Elizabeth Summers | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2015-12-01 |
1740608082 | Margaret Hamilton | Nurse Practitioner | 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 | 2014-04-03 |
1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
1356778237 | Rachel Keith-weiss | Nurse Practitioner | 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 | 2013-10-09 |
1598010852 | Hollis Veronica Edwards | Nurse Practitioner | 550 S Jackson St Fl 1, Louisville, KY 40202 | 2012-07-23 |
1578865267 | Sarah Kressy | Nurse Practitioner | 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 | 2010-12-01 |
1780909259 | Deborah Diane Knight-williams | Nurse Practitioner | 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 | 2010-03-28 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 39339 |
Please comment or provide details below to improve the information on KELLI R CHUNN.
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.