KELLY BURR (NPI# 1861797763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861797763 |
| Entity Type | Individual |
| Full Name | KELLY BURR |
| Credential | ARNP |
| Practice Address |
12170 Seminole Blvd Largo FL 33778-2833 |
| Mailing Address |
4278 28th St N St Petersburg FL 33714-3922 |
| Practice Telephone | 7275865355 |
| Practice Fax Number | 7275264346 |
| Mailing Telephone | 7275269135 |
| Mailing Fax Number | 7275264346 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9171603 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003097100 | 05 |
| Street Address |
12170 SEMINOLE BLVD |
| City | LARGO |
| State | FL |
| Zip Code | 33778-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450617 | Maria V Lopez | Pediatrics | 12170 Seminole Blvd, Largo, FL 33778-2833 | 2005-10-12 |
| 1902244429 | Cassandra Wesnofske | Nurse Practitioner | 12170 Seminole Blvd, Largo, FL 33778-2833 | 2013-06-06 |
| 1013905066 | Marta J Berio | Pediatrics | 12170 Seminole Blvd, Largo, FL 33778-2833 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571775 | Patricia Ann Mitchell | Hearing Instrument Specialist | Florida Medical Hearing Center, 10825 102nd Avenue North-ste 312, Seminole, FL 33778 | 2019-04-10 |
| 1376037432 | Fresh Start Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste C, Largo, FL 33778 | 2018-06-21 |
| 1275059685 | Sharetta Lanor Ingram-patterson | Counselor | 11365 111th Avenue, Largo, FL 33778 | 2017-08-17 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1972961274 | Yudith Liriano Gonzalez | Registered Nurse | 12150 Seminole Blvd Ste 111, Largo, FL 33778 | 2016-02-02 |
| 1528347309 | Kenneth Eran Rosher | Assisted Living Facility | 1617 Madrid Drive, Largo, FL 33778 | 2011-08-10 |
| 1609987817 | Jennifer Roco Paulmino Dds Prof Dental Pa | Dentist | 10333 Seminole Blvd Ste 7, Largo, FL 33778 | 2006-08-31 |
| 1871533893 | Kenneth Tsu-ching Yen | Internal Medicine | 11200 Seminole Blvd Ste 306, Largo, FL 33778 | 2006-06-07 |
| 1447251061 | Mayra L Lorenzo | Family Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2005-08-04 |
| 1841706926 | 1 Care LLC | Respite Care | 12945 Seminole Blvd, Suite 12, Largo, FL 33778 | 2017-12-27 |
| Find all providers in zip 33778 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528354313 | Veneetha Roy | Nurse Practitioner | 3475 E Bay Dr, Largo, FL 33771-5905 | 2011-06-21 |
| 1659386415 | Lareshia L Slade | Nurse Practitioner | 1300 Caraway Ct, 106, Largo, MD 20774-5461 | 2006-07-30 |
| 1902239601 | Krista Horton | Nurse Practitioner | 3475 E Bay Dr, Largo, FL 33771-5905 | 2013-08-16 |
| 1902244429 | Cassandra Wesnofske | Nurse Practitioner | 12170 Seminole Blvd, Largo, FL 33778-2833 | 2013-06-06 |
| 1700121506 | Patricia Anne Papa | Nurse Practitioner | 1701 Mccormick Dr, Largo, MD 20774-5329 | 2012-12-05 |
| 1144533969 | Frances Justine Caffie-wright | Nurse Practitioner | 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774-5329 | 2010-07-21 |
| 1518936608 | Marilyn Lea Carr | Nurse Practitioner | 12420 130th Ave, Largo, FL 33774-1950 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
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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.