Keandra Monique McNeal, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11038570 Issued in FL

Practice address

118 Marshall Dr
Perry, FL 32347-1834

Phone

(850) 295-0235

NPI assigned

May 18, 2021

Last updated

Apr 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keandra.mcneal.1@5867.direct.athenahealth.com

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.

• Doctors Memorial Hospital Inc

  dba DMH Physicians Group

  • Surgery Physician
  • Perry, FL
  • NPI 1285709451
  Medicare reassignment NPD
• Doctors Memorial Hospital Inc

  • Family Medicine Physician
  • Perry, FL
  • NPI 1578327896
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1184298770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471834",
            "telephone_number": "850-295-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "KEANDRA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinzi Mattingly, RN
• Laura McAninch, RBT
• Ashley Wambolt McCormick, FNP-C
• Stephanie N McCranie
• Genevieve Blanchard McGowan, C.R.N.A.
• Alissa S McQuiston, RN
• Melissa S Amundson DDS PA (Perry Family Dental and Implants)
• Jordon Paige Metcalf
• Ashlyn Mills, PTA
• Evalena Kaye Mock, LMT

• Family Nurse Practitioner in Perry, FL
• Providers in Perry, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.