Rachael Kelly

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3503 SW 52ND Ave Apt 101
Hollywood, FL 33023-5430

Phone

(954) 348-0369

NPI assigned

Jul 22, 2014

Last updated

Jul 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Arrow Case Management, Inc

  • Case Management Agency
  • Hollywood, FL
  • NPI 1902213085
  NPD (past) Authorized official

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1316354384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 SW 52ND AVE APT 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330235430",
            "telephone_number": "954-348-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 SW 52ND AVE APT 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330235430",
            "telephone_number": "954-348-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003598400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norah J.M. Kelley, APRN
• Paula Kellman-Marsh
• Nickelle Anne Kellough, OD
• Askari Imani Kelly
• Laquinta Kelly
• Stacey Kelly
• Kimberly Denise Kelsey, NURSE PRACTITIONER
• Kelvin Lantigua, DMD, PA (Total Dental & Denture Care)
• Lori E Kelvy, NURSE PRACTITIONER
• Alexia Monay Kemp, COTA/L

• Case Manager/Care Coordinator in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.