Individual provider Active NPI

Barbara J Kelly, ARNP

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1164745063
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3373872 Issued in FL
Practice address
220 Alafaya Woods Blvd Ste 1000
Oviedo, FL 32765-6212
Phone
(407) 542-7335
Fax
(407) 542-7338
NPI assigned
Mar 5, 2010
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3373872 FL Primary

Addresses

Primary practice location

220 Alafaya Woods Blvd Ste 1000
Oviedo, FL 32765-6212

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (305) 913-9454

Other practice location 1

14807 E Colonial Dr Ste 112
Orlando, FL 32826-5122
Phone (407) 753-7053

Other identifiers 1

IdentifierTypeStateIssuer
121041300MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006000064 FL Practitioner - Nurse Practitioner 3072821495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3373872FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Bautista, MD CurrentSince Sep 5, 2021 Accepting new patients
NP Primary Care LLC Current Accepting new patients
Desai Medical Center for Primary Care and Integrative Medicine PA CurrentSince Mar 3, 2025 Accepting new patients
Housecalls of South Florida, Inc PastSince Feb 11, 2019 Accepting new patients

Locations

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

2261 NE 36th St
Ste 2
Lighthouse Point, FL 33064
Phone (954) 786-9552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1164745063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9454",
            "fax_number": "305-442-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALAFAYA WOODS BLVD STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656212",
            "telephone_number": "407-542-7335",
            "fax_number": "407-542-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14807 E Colonial Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328265122",
            "country_code": "US",
            "telephone_number": "407-753-7053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3373872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121041300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.