KELLY WITBECK (NPI# 1366812380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366812380 |
| Entity Type | Individual |
| Full Name | KELLY WITBECK |
| Credential | ARNP |
| Practice Address |
1235 Stonehedge Trail Ln Saint Augustine FL 32092-1061 |
| Practice Telephone | 9042948050 |
| Mailing Telephone | 9042948050 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9277250 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1235 STONEHEDGE TRAIL LN |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32092-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737598 | Gabriela Elena Fratila | Nurse Practitioner | 367 Los Caminos St, Saint Augustine, FL 32095-7415 | 2020-07-10 |
| 1780214767 | Chastity Haltam | Nurse Practitioner | 113 Islander Dr, Saint Augustine, FL 32080-6001 | 2020-01-18 |
| 1073094314 | Stephanie Digirolamo | Nurse Practitioner | 167 Silver Glen Ave, Saint Augustine, FL 32092-2468 | 2018-08-24 |
| 1154856037 | Michelle Kessler | Nurse Practitioner | 72 Honey Branch Ln, Saint Augustine, FL 32092-0822 | 2017-04-27 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1063817948 | Eli Billeter | Nurse Practitioner | 128 Moultrie Crossing Ln, Saint Augustine, FL 32086-5242 | 2014-11-04 |
| 1346644572 | Marla Ruth Capes | Nurse Practitioner | 559 W Twincourt Trl Unit 604, Saint Augustine, FL 32095-8805 | 2014-10-17 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1841623386 | Kristyn Alease Miller | Nurse Practitioner | 5001 Clayton Ct, Saint Augustine, FL 32092-3688 | 2013-08-20 |
| 1750581658 | Wanda Lynne Morgan | Nurse Practitioner | Flagler Hospital, 400 Health Park Blvd, Disease Management 6th Floor, Saint Augustine, FL 32086-5784 | 2007-07-19 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on KELLY WITBECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.