Active NPI
Brittany Buchanan Kelly, APRN
- Family Nurse Practitioner
- Ponte Vedra, FL
National Provider Identifier
1174860357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9378013
- Practice address
- 400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237 - Phone
- (904) 640-8249
- Fax
- (904) 640-8250
- NPI assigned
- Jan 8, 2013
- Last updated
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9378013 | FL | Primary |
Addresses
Primary practice location
400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
14540 Old Saint Augustine Rd Ste 2499
Jacksonville, FL 32258-7418
Phone (904) 296-2441
Other practice location 2
6879 Southpoint Dr N
Jacksonville, FL 32216-6179
Phone (904) 296-2441
Other names 1
- Brittany Marie Buchanan
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1174860357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-280-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONNADE DR STE 230",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320816237",
"telephone_number": "904-640-8249",
"fax_number": "904-640-8250"
}
],
"practiceLocations": [
{
"address_1": "14540 Old Saint Augustine Rd Ste 2499",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322587418",
"country_code": "US",
"telephone_number": "904-296-2441",
"fax_number": "904-345-3150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6879 Southpoint Dr N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322166179",
"country_code": "US",
"telephone_number": "904-296-2441",
"fax_number": "904-821-3113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "BRITTANY",
"middle_name": "BUCHANAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9378013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "BUCHANAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.