What is Marietta Kellum's NPI number?

Marietta Kellum's National Provider Identifier (NPI) is 1770248759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Marietta Kellum's specialty?

Marietta Kellum is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Marietta Kellum located?

Marietta Kellum's practice location on file with NPPES is 14999 Packer Ln, Carterville, IL 62918-3242.

What is Marietta Kellum's phone number?

The practice phone number listed in the NPPES registry for Marietta Kellum is (618) 967-8709.

Is Marietta Kellum's NPI active?

Yes — Marietta Kellum's NPI (1770248759) is active in the NPPES registry as of the last update on 2021-11-03.

IndividualActive

Marietta Kellum, RN

NPI 1770248759 · Registered Nurse · Carterville, IL

Marietta Kellum, RN is a Registered Nurse provider in Carterville, IL (NPI 1770248759).

Provider details

NPI number: 1770248759
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 41.157902 (IL)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 41.157902 (IL)
Nursing Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

14999 Packer Ln

Carterville, IL 62918-3242

Phone: (618) 967-8709

Street-level locationGet directions

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Mailing address