Active NPI
Kerrin Newberry
- Developmental Therapist
- Melbourne, FL
National Provider Identifier
1134740632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 4080 Bayberry Dr
Melbourne, FL 32901-8459 - Phone
- (407) 969-8424
- NPI assigned
- May 6, 2020
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
4080 Bayberry Dr
Melbourne, FL 32901-8459
Mailing address
4080 Bayberry Dr
Melbourne, FL 32901-8459
Phone (407) 969-8424
Other names 1
- Kerrin Sweet
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1134740632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 BAYBERRY DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018459",
"telephone_number": "407-969-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 BAYBERRY DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018459",
"telephone_number": "407-969-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "KERRIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRIN",
"last_name": "SWEET",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.