KELLY TRAYLOR (NPI# 1710341557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710341557 |
| Entity Type | Individual |
| Full Name | KELLY TRAYLOR |
| Practice Address |
4348 Southpoint Blvd Ste 100 Jacksonville FL 32216-0986 |
| Practice Telephone | 9042811915 |
| Practice Fax Number | 9049811119 |
| Mailing Telephone | 9042811915 |
| Mailing Fax Number | 9042811119 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9258734 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629343868 | Kelly A Traylor | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-03-21 |
| 1477677540 | Kelly N Traylor | Family Medicine | 4943 Rosebud Ln, Newburgh, IN 47630-9226 | 2007-03-16 |
| Street Address |
4348 SOUTHPOINT BLVD STE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679549232 | Bhavesh S Patel | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2006-02-24 |
| 1730536632 | Lourdine Jean-baptiste | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2016-05-20 |
| 1619337532 | Ilze Hicks | General Practice | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2016-03-04 |
| 1568833804 | Gloria Calderon | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-10-13 |
| 1386027332 | Stephanie Nicole Burkhalter | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-07-08 |
| 1750787982 | Iah of Florida, LLC | Family Medicine | 4348 Southpoint Blvd, Ste. 100, Jacksonville, FL 32216-0986 | 2014-11-17 |
| 1407197585 | Rmed LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4348 Southpoint Blvd, Suite#100, Jacksonville, FL 32216-0986 | 2013-03-14 |
| 1023360435 | Rebecca K Reza | Registered Nurse | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2012-10-09 |
| 1528336575 | Vpa PC | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2011-12-06 |
| 1710203435 | Jesse Balseiro | Family Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on KELLY TRAYLOR.
| 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.