Cynthia Ann Kelly, RN, BSN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

9379295 Issued in FL

Practice address

2130 NW 31St Ave Apt H2
Gainesville, FL 32605-2325

Phone

(352) 792-2730

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1326452343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NW 31ST AVE APT H2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052325",
            "telephone_number": "352-792-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NW 31ST AVE APT H2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052325",
            "telephone_number": "352-792-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9379295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaric Kelly
• Amber Rae Kelly, LCSW
• Brian James Kelly, PHARMD
• Cameron Michael Kelly, MD
• Christopher Carr Kelly, LCSW
• Dequalia M Kelly
• Grace Katherine Kelly, MD
• Kaitlin Kelly
• Kathleen Elizabeth Kelly, PHARM.D.
• Maria N Kelly, MD

• Psychiatric/Mental Health Registered Nurse in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.