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KELLY ELIZABETH EARNEST CPNP NPI 1366437238


NPI Information

NPI: 1366437238
Provider Name: KELLY ELIZABETH EARNEST, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2100 W CLINCH AVE
SUITE 310
KNOXVILLE, TN
ZIP 37916
Phone: (865) 637-8481
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Kelly Elizabeth Earnest, CPNP is a pediatrics nurse practitioner in Knoxville, TN. Kelly Elizabeth Earnest, CPNP NPI is 1366437238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 W CLINCH AVE
SUITE 310
KNOXVILLE, TN
ZIP 37916-219
Phone: (865) 637-8481

The enumeration date for this NPI number is 9/15/2005 and was last updated on 5/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics3200PKENTUCKYNo
2363LP0200XNurse PractitionerPediatricsRN115204GEORGIANo
3363L00000XNurse Practitioner13454TENNESSEENo
4363LP0200XNurse PractitionerPediatrics13454TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
178004405MEDICAIDKENTUCKY
250006858OTHERKENTUCKYPASSPORT NON-PARTICIPATE
30650805MEDICARE ID-TYPE UNSPECIFIED
4000000179284OTHERKENTUCKYID BLUE CROSS INSURANCE
5P60980MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.