Kelly Nail

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

CWCM101389 Issued in FL

Practice address

608 SW Marvin Burnett Rd
Lake City, FL 32025-4918

Phone

(386) 965-5197

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurodiverse Ability Services LLC

  • Speech-Language Pathologist
  • Lake City, FL
  • NPI 1598366171
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1033798319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25220 49TH RD",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320714206",
            "telephone_number": "352-538-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SW MARVIN BURNETT RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254918",
            "telephone_number": "386-965-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIL",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CWCM101389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MVP Medical Transit LLC
• Baylee S Mynitti
• Richard H Nabinger II, PHARMD
• Nafashia Hyche
• Nahed S. Sobhy M.D. P.a.
• Nancey Upshaw, Inc.
• Jessica Natale
• National Medical Transportation Enterprise Inc
• Naylor Nursing Services, LLC
• Melanie M Nelson, PHD

• Case Management Agency in Lake City, FL
• Providers in Lake City, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.