MRS. KELLI MCLAUGHLIN (NPI# 1750836086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750836086 |
| Entity Type | Individual |
| Full Name | MRS. KELLI MCLAUGHLIN |
| Practice Address |
165 Southpark Blvd St Augustine FL 32086-4101 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 3213285002 |
| Mailing Telephone | 9287595987 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP8972 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9319660 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679849301 | Kelli Mclaughlin | Speech-Language Pathologist | 290 W 10th St, Salem, OH 44460-1516 | 2012-03-27 |
| 1538106315 | Kelli Mclaughlin | Optometrist | 7361 W. Lake Mead Blvd, Ste 104, Las Vegas, NV 89128 | 2006-06-01 |
| Street Address |
165 SOUTHPARK BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352189 | Avanti Wellness Center Inc | Clinic/Center | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2006-05-12 |
| 1891298790 | Fm Medical Clinic LLC | Clinic/Center | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2018-03-16 |
| 1053790246 | Fm Medical Urgent Care, Inc. | Clinic/Center | 165 Southpark Blvd, Suite C, St Augustine, FL 32086-4101 | 2015-05-21 |
| 1588091029 | Fm Medical LLC | Family Medicine | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2013-09-30 |
| 1053652099 | Fm Medical | Clinic/Center | 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086-4101 | 2013-03-14 |
| 1750680591 | Marybeth Dyckes | Massage Therapist | 165 Southpark Blvd, Suite C and D, St Augustine, FL 32086-4101 | 2011-03-18 |
| 1043535412 | Juliana Joy Farrell | Chiropractor | 165 Southpark Blvd, Suite C and D, St Augustine, FL 32086-4101 | 2010-03-29 |
| 1285877092 | Denise J Nealey | Counselor | 165 Southpark Blvd, Suite C, St Augustine, FL 32086-4101 | 2009-04-08 |
| 1073755815 | Annette Zavro | Counselor | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2009-03-25 |
| 1114169968 | Janet Griswold | Social Worker | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780026104 | Kimberly Cason Rogers | Nurse Practitioner | 5336 3rd St, St Augustine, FL 32080-7243 | 2013-07-26 |
| 1306939004 | Richard John Hanel | Nurse Practitioner | 2760 Us Highway 1 S, St Augustine, FL 32086-6343 | 2006-10-02 |
| 1497743223 | Vicki Lynn Parks | Nurse Practitioner | 10440 Us 1 N Unit 101, St Augustine, FL 32095-8459 | 2005-10-06 |
| 1518488477 | Richard Edward Culhane | Nurse Practitioner | 100 Whetstone Pl, St Augustine, FL 32086-5774 | 2017-06-30 |
| 1104282748 | Dana Reynolds | Nurse Practitioner | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2016-01-12 |
| 1275918989 | Michelle A Hartley | Nurse Practitioner | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2015-07-23 |
| 1871931444 | Ashton Phillips | Nurse Practitioner | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2013-06-05 |
| 1871640250 | Billie J Russell | Nurse Practitioner | 201 Health Park Blvd, Suite 105, St Augustine, FL 32086-5796 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.