KELLEY MAPLE (NPI# 1679115653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679115653 |
| Entity Type | Individual |
| Full Name | KELLEY MAPLE |
| Credential | APRN |
| Practice Address |
1130 Bayview Dr Ft Lauderdale FL 33304-2505 |
| Practice Telephone | 9547648911 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11004414 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 BAYVIEW DR |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33304-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245252469 | Robert L Reeder | Internal Medicine | 1130 Bayview Dr, Ft Lauderdale, FL 33304-2505 | 2006-07-24 |
| 1457522674 | Erdman and Madden LLC | Internal Medicine | 1130 Bayview Dr, Ft Lauderdale, FL 33304-2505 | 2008-03-15 |
| 1891801767 | Leonard Erdman | Internal Medicine | 1130 Bayview Dr, Ft Lauderdale, FL 33304-2505 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454162 | Tiffany Ann O'connor | Nurse Practitioner | 315 Sw 22nd St, Ft Lauderdale, FL 33315-2510 | 2020-07-08 |
| 1659785616 | Danielle Marie White | Nurse Practitioner | 4750 N Federal Hwy Ste 302, Ft Lauderdale, FL 33308-4609 | 2014-06-18 |
| 1962789677 | Susannah S Gleeson | Nurse Practitioner | 115 Ne 3rd Ave Apt 615, Ft Lauderdale, FL 33301-1302 | 2011-11-09 |
| 1598086977 | Ruth Esther Lazard-germain | Nurse Practitioner | 5430 Nw 33rd Ave Ste 106, Ft Lauderdale, FL 33309-6349 | 2010-06-19 |
| 1972785483 | Judith A Kuchta | Nurse Practitioner | 1700 S Federal Hwy, Ft Lauderdale, FL 33316-2947 | 2007-11-27 |
| 1710097506 | Reeve Duboff | Nurse Practitioner | 733 Breakers Ave, Ft Lauderdale, FL 33304-4116 | 2006-08-30 |
| 1821097460 | Kathleen M. Dailey | Nurse Practitioner | 1700 South Federal Highway, Cvs Minuteclinic, Ft Lauderdale, FL 33316 | 2005-07-15 |
| 1497212476 | Vannessa Marie Hernandez | Nurse Practitioner | 500 Se 17th St, Ft Lauderdale, FL 33316-2547 | 2019-02-26 |
| 1831613389 | Kathryn Bogue | Nurse Practitioner | 1700 S Federal Hwy, Ft Lauderdale, FL 33316 | 2017-07-26 |
| 1831635523 | Shauna Guilmette | Nurse Practitioner | 4725 N Federal Hwy, Ft Lauderdale, FL 33308-4603 | 2017-01-18 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on KELLEY MAPLE.
| 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.