KRYSTLE KELLY (NPI# 1326397662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326397662 |
| Entity Type | Individual |
| Full Name | KRYSTLE KELLY |
| Practice Address |
3900 Nw 79 Ave Suite 501 Doral FL 33166 |
| Practice Telephone | 3055973861 |
| Practice Fax Number | 3055973863 |
| Mailing Telephone | 3055973861 |
| Mailing Fax Number | 3055973863 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861020612 | Krystle Kelly | Nurse Practitioner | 4465 Clarksburg Rd, Clemmons, NC 27012-7156 | 2020-03-28 |
| Street Address |
3900 NW 79 AVE SUITE 501 |
| City | DORAL |
| State | FL |
| Zip Code | 33166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181348 | Theodore T Lamotta, Inc | General Practice | 3900 Nw 79 Ave, Suite 728, Doral, FL 33166-6551 | 2006-10-02 |
| 1760872485 | Martinez Health Care & Rehabilitation | Clinic/Center | 3900 Nw 79 Ave, Suite 472, Doral, FL 33166-3550 | 2015-02-02 |
| 1013338474 | Juan Carlos Martell | Student in an Organized Health Care Education/Training Program | 3900 Nw 79 Ave, Suite 501, Doral, FL 33166 | 2014-01-02 |
| 1639428956 | Annieka Dennis | Student in an Organized Health Care Education/Training Program | 3900 Nw 79 Ave, Suite 501, Doral, FL 33166 | 2012-08-31 |
| 1144579483 | Edlyne Mathieux | Student in an Organized Health Care Education/Training Program | 3900 Nw 79 Ave, Suite 501, Doral, FL 33166 | 2012-08-31 |
| 1639322548 | Phaleg Medical Services | Point of Service | 3900 Nw 79 Ave, #520, Doral, FL 33166 | 2008-10-23 |
| 1225234438 | Relief Pain Diagnostic Center, Inc. | Clinic/Center | 3900 Nw 79 Ave, Suite 219, Doral, FL 33166-6546 | 2007-06-25 |
| 1881722320 | K & J Medical Center Inc | Clinic/Center | 3900 Nw 79 Ave, Suite 326, Doral, FL 33166-6547 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136808 | Viviana De La Caridad Espinosa | Student in an Organized Health Care Education/Training Program | 8180 Geneva Ct Apt 121b, Doral, FL 33166-4655 | 2020-08-24 |
| 1710447669 | Francisco Jose Zerpa Jr. | Student in an Organized Health Care Education/Training Program | 11107 Nw 72nd Ter, Doral, FL 33178-3669 | 2019-03-25 |
| 1164913083 | Pedro Alejandro Rojas | Student in an Organized Health Care Education/Training Program | 4180 Nw 79th Ave Apt 1a, Doral, FL 33166-6535 | 2018-05-25 |
| 1669842720 | Steven Kraus | Student in an Organized Health Care Education/Training Program | 11605 Nw 89th St, Apt 220, Doral, FL 33178-1785 | 2015-10-01 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1982039863 | Carmen C Watanabe | Student in an Organized Health Care Education/Training Program | 11278 Nw 53rd Ln, Doral, FL 33178-3515 | 2013-09-10 |
| 1215218037 | Anayancis Almaguer | Student in an Organized Health Care Education/Training Program | 7715 Nw 48th St Ste 350&360b, Doral, FL 33166-5455 | 2011-09-07 |
| 1972890341 | Adriana Yanquez | Student in an Organized Health Care Education/Training Program | 7715 Nw 48th St Ste 350, Doral, FL 33166-5473 | 2011-07-06 |
| 1194017152 | Milena Medori | Student in an Organized Health Care Education/Training Program | 7715 Nw 48th St Ste 350b, Doral, FL 33166-5455 | 2011-05-10 |
| 1790318152 | Kevin Manuel Rodriguez Santos | Student in an Organized Health Care Education/Training Program | 3601 Nw 107th Ave Fl 3, Doral, FL 33178-4377 | 2020-02-13 |
| Find all providers in DORAL | ||||
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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.