TRICIA KELLUM NP NPI 1700506565

NPI Information

  • NPI: 1700506565
  • Provider Name: TRICIA KELLUM, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 COMMERCE DR STE 300
    NEWARK, DE
    ZIP 19713
  • Phone: (302) 726-1081

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NPI Details

Tricia Kellum, NP is a psychiatric/mental health nurse practitioner in Newark, DE with 2 years of experience. Tricia Kellum, NP NPI is 1700506565. 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:

100 COMMERCE DR STE 300
NEWARK, DE
ZIP 19713-878
Phone: (302) 726-1081

The NPI 1700506565 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 8/31/2022 and was last updated on 2/10/2025.

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
1163W00000XRegistered Nurse287482GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health29862SOUTH CAROLINANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health287482GEORGIANo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthL8-0010769DELAWAREYes

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: 11/21/2025

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