KELLIE O'CONNELL SALLIS ACNP-BC
NPI 1669726386
Nurse Practitioner - Acute Care in Lebanon, TN

Q: What is Kellie Sallis's NPI number?

The NPI number for Kellie Sallis is 1669726386. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Q: What is Kellie Sallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Sallis was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2012

1423 W BADDOUR PKWY, LEBANON, TN 37087(615) 257-0900(615) 443-1444 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kellie O'connell Sallis Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE O'CONNELL SALLIS ACNP-BC (NPI 1669726386) is an individual acute care provider in Lebanon, Tennessee, licensed in Tennessee (17137) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1669726386

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKELLIE O'CONNELL SALLISCredential: ACNP-BC

Location Address1423 W BADDOUR PKWYLebanon, TN 37087-3061

Mailing AddressPo Box 1165Lebanon, TN 37088-1165 · (615) 257-0900 · Fax (615) 443-1444

Phone(615) 257-0900

Fax(615) 443-1444

Sole ProprietorNo

Enumeration DateNovember 2, 2012

Last NPPES UpdateOctober 20, 2014

✔ NPI 1669726386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 17137

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 17137 (TN)

1423 W BADDOUR PKWY, Lebanon, TN 37087

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

T SCOTT BAKER MD PC

Physical Medicine & Rehabilitation

1423 W BADDOUR PKWY
LEBANON, TN 37087

Wilson County (615) 257-0900

THOMAS SCOTT BAKER M.D.

Physical Medicine & Rehabilitation (Pain Medicine)

1423 W BADDOUR PKWY
LEBANON, TN 37087

Wilson County (615) 257-0900

MRS. KERI LYNN RAYMOND PA-C

Physician Assistant

1423 W BADDOUR PKWY
LEBANON, TN 37087

Wilson County (615) 257-0900

STACY DIANE NINAN A.P.N.

Nurse Practitioner (Acute Care)

1423 W BADDOUR PKWY
LEBANON, TN 37087

Wilson County (615) 257-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Sallis's NPI number?

The NPI number for Kellie Sallis is 1669726386. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Where is Kellie Sallis located?

Kellie Sallis practices at 1423 W Baddour Pkwy, Lebanon, TN 37087. The listed phone number is (615) 257-0900.

What is Kellie Sallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Kellie Sallis was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.