Courtney E Kelly (NPI# 1720595549, PAC ID# 7315286549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720595549 |
| PAC ID by PECOS | 7315286549 |
| Professional Enrollment ID | I20190305001757 |
| Full Name | Courtney E Kelly |
| Organization Legal Name | STARKE HMA LLC |
| Address |
1550 S Water St Starke FL 32091-4511 |
| Phone Number | 9043682480 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224152657 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101310 | SHANDS STARKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1550 S Water St, Starke, FL 32091-4511 | 9043682480 | STARKE HMA LLC |
| Organization Legal Name | STARKE HMA LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sierra A Hobbs | Physician Assistant | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Gayle S Nicula | Nurse Practitioner | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Joelle Marie Innocent Simon | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Dona Hunt | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| David B Kirkland | Nurse Practitioner | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Kevin Mcbride | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Street Address |
1550 S WATER ST |
| City | STARKE |
| State | FL |
| Zip | 32091-4511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sierra A Hobbs | Physician Assistant | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Gayle S Nicula | Nurse Practitioner | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Joelle Marie Innocent Simon | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Dona Hunt | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| David B Kirkland | Nurse Practitioner | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Kevin Mcbride | Family Medicine | Starke Hma LLC | 1550 S Water St, Starke, FL 32091-4511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith E Lynch | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Tiffany N Rogers | Nurse Practitioner | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Andrew Owen | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Lynne M Webster | Nurse Practitioner | Florida Department of Health | 1801 N Temple Ave, Starke, FL 32091-1960 |
| Deron Ck Ottey | Orthopedic Surgery | 417 W Call St, Starke, FL 32091-3115 | |
| Virgil A Berry Jr. | Chiropractic | 601 E Call St, Starke, FL 32091-3405 | |
| Andrea E Waterhouse | Nurse Practitioner | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Samer O Salhab | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Olutayo T Olabige | Nephrology | 922 E Call St, Starke, FL 32091-3616 | |
| James M Switzer | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Find all physicians in zip 32091 | |||
| City | STARKE |
| Zip Code | 32091 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STARKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Courtney E Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.