Active NPI
Meredith Jill Kelly, APRN
- Nurse Practitioner
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11013919
- Practice address
- 5441 N University Dr Ste 101
Coral Springs, FL 33067-4640 - Phone
- (954) 803-9002
- Fax
- (954) 933-2305
- NPI assigned
- Jun 19, 2017
- Last updated
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11013919 | FL | Primary |
Addresses
Primary practice location
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Mailing address
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002
Other practice location 1
1414 SE 3rd Ave
Fort Lauderdale, FL 33316-1910
Phone (954) 803-9002
Other practice location 2
8395 W Oakland Park Blvd Ste E-F
Sunrise, FL 33351-7301
Phone (954) 803-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910
Phone (954) 803-9002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11013919 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neurology Institute, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
5441 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 739-2221
1414 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 764-8033
8395 W Oakland Park Blvd
Ste Ef
Sunrise, FL 33351
Phone (954) 803-9002
Interoperability endpoints
- https://api.platform.athenahealth.com/22170/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/DECFCD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1114457488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 N UNIVERSITY DR STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674640",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 N UNIVERSITY DR STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674640",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305"
}
],
"practiceLocations": [
{
"address_1": "1414 SE 3rd Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161910",
"country_code": "US",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8395 W Oakland Park Blvd Ste E-F",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333517301",
"country_code": "US",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "MEREDITH",
"middle_name": "JILL",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11013919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.