MRS. KELLI LYNNE EARLE (NPI# 1598305062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598305062 |
| Entity Type | Individual |
| Full Name | MRS. KELLI LYNNE EARLE |
| Credential | APRN, CNM |
| Practice Address |
5959 Central Ave Ste 103 Saint Petersburg FL 33710-8502 |
| Mailing Address |
4101 13th Ln Ne Saint Petersburg FL 33703-5303 |
| Practice Telephone | 7277676060 |
| Practice Fax Number | 7277671285 |
| Mailing Telephone | 7277095885 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP1700X |
Nurse Practitioner Specialization: Perinatal |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
11004610 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5959 CENTRAL AVE STE 103 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33710-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 363LP1700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Perinatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689630055 | Michelle Camacho | Nurse Practitioner | 8645 N Military Trl Ste 508, West Palm Beach, FL 33410-6296 | 2006-04-25 |
| 1710228192 | Nikia Marie Marshall | Nurse Practitioner | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2013-03-08 |
| 1174836407 | Sarina R. Dewald | Nurse Practitioner | 2 Tampa General Cir, Stc 5th Floor, Tampa, FL 33606-3603 | 2010-07-15 |
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on MRS. KELLI LYNNE EARLE.
| 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.