MRS. KELLI GWYN LITTLE NP NPI 1952671182

NPI Information

NPI: 1952671182
Provider Name: MRS. KELLI GWYN LITTLE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: STATE OF TENNESSEE

PECOS Registration: Yes

Address:
6130 SHALLOWFORD RD
STE 101
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 664-4635
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MRS. Kelli Gwyn Little, NP is a family nurse practitioner in Chattanooga, TN with 12 years of experience. MRS. Kelli Gwyn Little, NP NPI is 1952671182. 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:

6130 SHALLOWFORD RD
STE 101
CHATTANOOGA, TN
ZIP 37421-222
Phone: (423) 664-4635
Fax: (423) 664-4640

The NPI 1952671182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 3/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		0000106383	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	16667	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1952671182	OTHER	TENNESSEE	NPI

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: 11/14/2023

NPI Synchronization or Removal

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