Clearwater Family Medicine and Allergy, PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

Practice address

708 Druid Rd E
Clearwater, FL 33756-3914

Phone

(727) 446-1097

Fax

(833) 941-2542

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Kerry Reller, MDNPI 1649513276

Title

Owner

Phone

(727) 446-1097

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• J. Wayne Phillips, MD, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24994/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Eileen Reller, M.D.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1649513276
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Lakadawala, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
  • NPI 1144068750
  Medicare reassignment Care Compare group NPD
• Joel Wayne Phillips, M.D.

  • Allergy & Immunology Physician
  • Clearwater, FL
  • NPI 1083724207

  Specialist

  Medicare reassignment Care Compare group NPD
• Lisa Davis, PA

  • Medical Physician Assistant
  • Clearwater, FL
  • NPI 1972809416
  Medicare reassignment Care Compare group
• Soondoos Rasheid Browning, PA

  • Physician Assistant
  • Clearwater, FL
  • NPI 1619824794
  NPD
• Teresa B. White, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1518021203
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1316255128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563914",
            "telephone_number": "727-446-1097",
            "fax_number": "833-941-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563914",
            "telephone_number": "727-446-1097",
            "fax_number": "833-941-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Tampa Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346835849",
            "country_code": "US",
            "telephone_number": "727-787-2092",
            "fax_number": "833-941-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARWATER FAMILY MEDICINE AND ALLERGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "RELLER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-446-1097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009813800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122965700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Wayne Phillips, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Allergy & Immunology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.