MR. FRED A KELLY II (NPI# 1407399470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407399470 |
| Entity Type | Individual |
| Full Name | MR. FRED A KELLY II |
| Credential | ARNP |
| Practice Address |
500 Winderley Pl #115 Maitland FL 32751 |
| Mailing Address |
1114 Cambridge St Deltona FL 32725-3652 |
| Practice Telephone | 4079525705 |
| Mailing Telephone | 4079525705 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9366837 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 WINDERLEY PL #115 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780037267 | Laura Edridge | Nurse Practitioner | 1791 Mohican Trl, Maitland, FL 32751-3701 | 2016-07-19 |
| 1154677938 | William Brinson | Nurse Practitioner | 500 Winderley Pl Ste 113, Maitland, FL 32751-7406 | 2012-07-30 |
| 1508471459 | Allison Ann Libert | Nurse Practitioner | 406 Lake Howell Rd, Maitland, FL 32751-5907 | 2020-09-08 |
| 1134731748 | Lindsey Cieslak | Nurse Practitioner | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2020-08-17 |
| 1811539984 | Annis Amelin Trinidad | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2019-10-10 |
| 1912556812 | Thamara Marcelin | Nurse Practitioner | 2201 Lucien Way Ste 100, Maitland, FL 32751-7003 | 2019-09-04 |
| 1295395135 | Jennifer L Sams | Nurse Practitioner | 402 Lake Howell Rd, Maitland, FL 32751-5907 | 2019-06-13 |
| 1346701018 | Sajid Khan | Nurse Practitioner | 2201 Lucien Way Ste 200, Maitland, FL 32751-7003 | 2019-03-26 |
| 1043776636 | Gina O'connor | Nurse Practitioner | 790 Concourse Pkwy S, Maitland, FL 32751-6114 | 2019-02-19 |
| 1801373162 | Florence A. Agyeman | Nurse Practitioner | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2018-07-19 |
| Find all providers in MAITLAND | ||||
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| 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.