Individual provider Active NPI

Kerry Gede, RN

  • Case Management Registered Nurse
  • Boynton Beach, FL
National Provider Identifier
1073202925
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN9545011 Issued in FL
Practice address
7987 Clementine Dr
Boynton Beach, FL 33436-1605
Phone
(561) 633-9713
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN9545011 FL
Case Management Registered Nurse 163WC0400X RN9545011 FL Primary

Addresses

Primary practice location

7987 Clementine Dr
Boynton Beach, FL 33436-1605

Mailing address

7987 Clementine Dr
Boynton Beach, FL 33436-1605
Phone (561) 633-9713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9545011FLMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Home Care Nurse Registry Tpa Current Accepting new patients
Trusted Home Care Nurse Registry Pie Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1073202925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7987 CLEMENTINE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361605",
            "telephone_number": "561-633-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7987 CLEMENTINE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361605",
            "telephone_number": "561-633-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDE",
        "first_name": "KERRY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "RN9545011",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9545011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.