KELLE CHRISTINE DEGROAT


Address: 10106 Hermosillo Dr., Street Address 2, New Port Richey, FL 34655-3465
Phone: 7273641725

KELLE CHRISTINE DEGROAT (NPI# 1487122297) 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) 1487122297
Entity Type Individual
Full Name KELLE CHRISTINE DEGROAT
Practice Address 10106 Hermosillo Dr.
Street Address 2
New Port Richey
FL 34655-3465
Mailing Address 10106 Hermosillo Dr # 2
New Port Richey
FL 34655-4349
Practice Telephone 7273641725
Mailing Telephone 7273641725
Enumeration Date 2018-11-09
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11000089 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10106 HERMOSILLO DR.
STREET ADDRESS 2
City NEW PORT RICHEY
State FL
Zip Code 34655-3465

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1710542824 Leah E. Grossman Student in an Organized Health Care Education/Training Program Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 2019-05-03
1508420696 Varun Reddy Student in an Organized Health Care Education/Training Program 9330 Fl 54, Trinity, FL 34655 2019-04-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689299265 Stephanie Angela Moore Nurse Practitioner 10850 Navajo Dr, New Port Richey, FL 34654-5233 2020-06-10
1730732587 Robert Kwan Nurse Practitioner 4905 Manor Dr, New Port Richey, FL 34652-6159 2019-07-22
1891357323 Diana Hatton Nurse Practitioner 8215 State Road 54, New Port Richey, FL 34655-3016 2019-07-04
1841704988 Kelly R Stryjewski Nurse Practitioner 6331 State Rd 54, New Port Richey, FL 34653 2017-11-28
1710381215 Rachel Stewart Nurse Practitioner 7826 Grimsby Ln, New Port Richey, FL 34655-4264 2014-10-14
1790102796 Bassam Kassem Radwan Nurse Practitioner 5340 Gulf Dr Ste 105, New Port Richey, FL 34652-3922 2014-03-27
1013343193 Medical Housecall Services Inc Nurse Practitioner 6004 Riviera Ln, New Port Richey, FL 34655-5629 2013-09-19
1861743122 Nancy Louise Dahl Nurse Practitioner 5004 Osprey Ln, New Port Richey, FL 34652-1111 2012-09-27
1134475627 Kanwaljit K Sidhu Nurse Practitioner 10925 Sr 54, New Port Richey, FL 34655 2012-08-02
1528250677 Dawn Willey Nurse Practitioner 10925 State Road 54, New Port Richey, FL 34655-2277 2007-08-13
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Competitor

Search similar providers

City NEW PORT RICHEY
Zip Code 34655

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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