Nicole Rashel Kennerly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005154 Issued in FL

Practice address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562

Phone

(352) 688-3379

Fax

(352) 398-1333

NPI assigned

Jan 28, 2020

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empressiv Glow Hydration and Wellness LLC

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1780381806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1275164477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 305",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-688-3379",
            "fax_number": "352-398-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNERLY",
        "first_name": "NICOLE",
        "middle_name": "RASHEL",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Zenchuk LMHC LLC
• Karen Kelly-Connor, ARNP
• Kay Kelly
• Kelmedix Inc
• Hope Elizabeth Kennedy, MOT, OTR/L
• Alecia Kenney, BS
• Kernaghan and Moore: Speech and Language Therapy Services, Inc.
• Jennifer Kerouac
• Amanda Lynn Kerr
• Brian L. Kersey, P.A.

• Family Nurse Practitioner in Spring Hill, FL
• Providers in Spring Hill, 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 Jan 28, 2020; 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.