CORI DEVON KELLNER


Address: 1223 Gateway Dr, Suite 1d, Melbourne, FL 32901-2607
Phone: 3217254500

CORI DEVON KELLNER (NPI# 1376968032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376968032
Entity Type Individual
Full Name CORI DEVON KELLNER
Other Name CORI DEVON BLAIR
Credential ARNP, WHNP-BC
Practice Address 1223 Gateway Dr
Suite 1d
Melbourne
FL 32901-2607
Practice Telephone 3217254500
Practice Fax Number 3217296166
Mailing Telephone 3217254500
Mailing Fax Number 3219517408
Enumeration Date 2014-03-04
Last Update Date 2015-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP9276319 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 012030200 05

Office Location

Street Address 1223 GATEWAY DR
SUITE 1D
City MELBOURNE
State FL
Zip Code 32901-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376537373 Rajiv Bhambri Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901 2005-09-06
1538727300 Barbara Litt Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1194383034 Lara Sexton Anzalone Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1184101883 Amber Elmore Nurse Practitioner 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-07-25
1649765843 Health First Medical Group, LLC Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-29
1134613847 Sara Gaffney Audiologist 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-16
1134673049 Karen Bransky Nurse Practitioner 1223 Gateway Dr, Suite G, Melbourne, FL 32901-2607 2016-08-09
1598113755 Jason Dickey Pharmacist 1223 Gateway Dr, Melbourne, FL 32901-2607 2016-05-28
1598129397 Danielle L Dillon Gannon Nurse Practitioner 1223 Gateway Dr, Suite E, Melbourne, FL 32901-2607 2016-04-07
1619374436 Holmes Regional Medical Center, Inc. Pharmacy 1223 Gateway Dr, Melbourne, FL 32901-2607 2014-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548255490 Lynn M Malone Nurse Practitioner 2571 W Eau Gallie Blvd Ste 1, Melbourne, FL 32935-8302 2005-09-16
1518445717 Aislyn Martine Nurse Practitioner 1223 Gateway Dr Ste 1d, Melbourne, FL 32901-2607 2018-07-31
1134411622 Rebecca Mary Elizabeth Hayes Nurse Practitioner 1318 Pine St, Melbourne, FL 32901-3117 2011-05-03
1922129519 Elizabeth Rea Eason Nurse Practitioner 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 2007-04-02
1942286380 Gayle L Davidson Nurse Practitioner 1223 Gateway Dr, Melbourne, FL 32901-2607 2005-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942774807 Kiz Tosi Nurse Practitioner 419 Peoria Blvd, Crestview, FL 32536-2248 2019-01-14
1720555121 Yuleima Placencia Gonzalez Nurse Practitioner 4308 Alton Road. Suite 620, Miami Beach, FL 33140 2018-10-24
1235648296 Lindsay Danielle Leider Nurse Practitioner 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 2017-09-21
1720516974 Polina Goldenberg Nurse Practitioner 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 2017-06-01
1780044750 Cherie Gordon Nurse Practitioner 2818 W Virginia Avenue, Tampa, FL 33607 2016-03-03
1487032967 Doris Washington Tucker Nurse Practitioner 15013 Sw 110th Ter, Miami, FL 33196-2599 2015-05-15
1962895326 University of Florida Jacksonville Physicians Inc Nurse Practitioner 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 2015-03-10
1538587332 Midwife360, LLC Nurse Practitioner 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 2014-03-31
1811324965 Dalia Philbeck Nurse Practitioner 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 2013-10-03
1407122088 Gloria Scheiner Nurse Practitioner 339 Mcintosh Ave, Orange Park, FL 32073-4831 2012-03-28
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Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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