KELLY RAE RECCHIA (NPI# 1053703017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053703017 |
| Entity Type | Individual |
| Full Name | KELLY RAE RECCHIA |
| Other Name | KELLY RAE SAXON |
| Credential | DNP, ARNP-BC |
| Practice Address |
4205 W Atlantic Ave Ste 201 Delray Beach FL 33445-3901 |
| Mailing Address |
101 Gaston Court Boynton Beach FL 33436 |
| Practice Telephone | 5616389140 |
| Practice Fax Number | 5614980320 |
| Mailing Telephone | 9546509864 |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9313601 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5352 Linton Blvd Ste 100, Delray Beach, FL 334846514 | 5614982249 | 5644980320 |
| 927 45th St Ste 301, Mangonia Park, FL 334072450 | 5616389140 | 5614980320 |
| 3375 Burns Rd Ste 101, Palm Beach Gardens, FL 334104360 | 5616389140 | 5614980320 |
| 3001 Nw 49th Ave Ste 104, Lauderdale Lakes, FL 333137257 | 5616389140 | 5614980320 |
| Street Address |
4205 W ATLANTIC AVE STE 201 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922236777 | Jordan Sasson | Surgery | 4205 W Atlantic Ave Ste 201, Delray Beach, FL 33445-3901 | 2009-06-30 |
| 1497253819 | Danielle Taylor Zaruches | Physician Assistant | 4205 W Atlantic Ave Ste 201, Delray Beach, FL 33445-3901 | 2018-01-31 |
| 1083123558 | Jessica Rose Bruno | Surgery | 4205 W Atlantic Ave Ste 201, Delray Beach, FL 33445-3901 | 2017-09-27 |
| 1962924530 | Nicole Vincent | Nurse Practitioner | 4205 W Atlantic Ave Ste 201, Delray Beach, FL 33445-3901 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048540 | Total Life Care Assist LLC | Nurse Practitioner | 4535 Nw 6th Ct, Delray Beach, FL 33445-2179 | 2020-09-22 |
| 1902416423 | Isabel Beatriz Gonzalez Fernandez | Nurse Practitioner | 860 Nw 21st Way, Delray Beach, FL 33445-2627 | 2020-08-10 |
| 1063043909 | Sana Salameh | Nurse Practitioner | 10793 El Caballo Ct, Delray Beach, FL 33446-2701 | 2020-01-29 |
| 1326688359 | Tara Lauren Melotek | Nurse Practitioner | 166 Gramercy Square Dr, Delray Beach, FL 33484-8137 | 2020-01-07 |
| 1760027767 | Carol P Ennis | Nurse Practitioner | 1175 E Magnolia Cir, Delray Beach, FL 33445-1242 | 2019-11-13 |
| 1053956037 | Nusheen Khan | Nurse Practitioner | 4800 Linton Blvd Ste E300, Delray Beach, FL 33445-6597 | 2019-11-13 |
| 1871134973 | Vicente Couto | Nurse Practitioner | 16950 S Jog Rd Ste 111, Delray Beach, FL 33446-2353 | 2019-10-01 |
| 1295386571 | Ubuntu Integrative Health LLC | Nurse Practitioner | 100 E Linton Blvd Ste 503a, Delray Beach, FL 33483-3353 | 2019-09-26 |
| 1679122097 | Paula Yolanda Januszewski | Nurse Practitioner | 4543 Brady Blvd, Delray Beach, FL 33445-3244 | 2019-09-09 |
| 1366910747 | Andrea Marie Petri | Nurse Practitioner | 250 Congress Park Dr Apt 459, Delray Beach, FL 33445-4768 | 2018-11-05 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on KELLY RAE RECCHIA.
| 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.