| Mrs Kimberly Keller, FNP | |
|
1616 W Main St, Lebanon, TN 37087-3100 | |
| (615) 444-1180 | |
| (615) 449-0883 |
| Full Name | Mrs Kimberly Keller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1616 W Main St, Lebanon, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881197457 | NPI | - | NPPES |
| Q044366 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 23758 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Entity Name | Vanderbilt Integrated Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Keller, FNP 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Mrs Kimberly Keller, FNP 1616 W Main St, Lebanon, TN 37087-3100 Ph: (615) 444-1180 |
Ashley Anderson Mccormack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1670 W Main St Ste 140, Lebanon, TN 37087 Phone: 615-994-8201 | |
Ali N Sorrell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1418 W Main St, Lebanon, TN 37087 Phone: 615-453-7720 | |
Justin Groce, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087 Phone: 615-444-4126 Fax: 855-785-2890 | |
Mrs. Brandi Lindsey, R. N., C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087 Phone: 615-449-5611 Fax: 615-444-7882 | |
Ms. Kristy M Blaney, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Physicians Way, Suite 250, Lebanon, TN 37090 Phone: 615-444-3307 | |
Kathleen Elizabeth Miller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 Mann Rd, Lebanon, TN 37087 Phone: 615-598-5490 | |
Carlie Morrison, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 S Hartmann Dr Ste 104, Lebanon, TN 37087 Phone: 615-243-8984 |