Kelly Cox

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9270387 Issued in FL

Practice address

1680 The Greens Way Ste 200
Jacksonville Beach, FL 32250-1422

Phone

(904) 800-7380

Fax

(904) 467-8932

NPI assigned

Oct 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kelly O'Brien Former name

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: memorytreatmentcenter.kellyobrien@149496.advancedmd-direct.com

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.

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  • Bonita Springs, FL
  • NPI 1700479094
  Medicare reassignment NPD
• Pure Healthcare of Florida LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
  • NPI 1093308397
  Medicare reassignment NPD
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  Medicare reassignment NPD
• Pure Infusion of Florida LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
  • NPI 1164304523
  NPD
• St Vincents Ambulatory Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1104085752
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1275937179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 THE GREENS WAY STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501422",
            "telephone_number": "904-800-7380",
            "fax_number": "904-467-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 THE GREENS WAY STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501422",
            "telephone_number": "904-800-7380",
            "fax_number": "904-467-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th St",
            "address_2": "UF Health Jacksonville",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32209",
            "country_code": "US",
            "telephone_number": "904-244-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28420 Bonita Crossings Blvd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341353203",
            "country_code": "US",
            "telephone_number": "239-235-0380",
            "fax_number": "239-237-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Sierra Meadows Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137328",
            "country_code": "US",
            "telephone_number": "239-744-2175",
            "fax_number": "239-307-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "9270387",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9270387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159917A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013647700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "O'BRIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Sanders Corbin, M.ED. CCC-SLP
• Core Essentials Physical Therapy & Wellness, LLC
• Coremotion Wellness
• Corporate Health LLC
• Couzens Stam Domingo PA
• Marcus Jeremy Cox, MD
• Stephanie Margaret-Timbol Cox, MS, LMHC
• Alexandra Crafton, L.AC.
• Caroline Craig
• Cage Cramer

• Adult Health Nurse Practitioner in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.