Organization Active NPI

Kerri Duncan, LLC

  • Developmental - Behavioral Pediatrics Physician
  • Englewood, FL
National Provider Identifier
1073329546
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
KERRI DUNCAN, LLC
Practice address
8591 Lakeside Dr
Englewood, FL 34224
Phone
(417) 860-7640
Fax
(941) 761-6196
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Kerri Ann Duncan, BCBA, EDD
Title
President
Phone
(417) 860-7640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

8591 Lakeside Dr
Englewood, FL 34224

Mailing address

8591 Lakeside Dr
Englewood, FL 34224
Phone (417) 860-7640

Other names 1

  • Hart4autism Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1073329546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 LAKESIDE DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "417-860-7640",
            "fax_number": "941-761-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 LAKESIDE DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "417-860-7640",
            "fax_number": "941-761-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI DUNCAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-860-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA, EDD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart4autism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.