Jodi Kellett

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3605 E County Highway 30a
#142
Santa Rosa Beach, FL 32459-6478

Phone

(928) 308-4088

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 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

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1326455924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 E COUNTY HIGHWAY 30A",
            "address_2": "#142",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596478",
            "telephone_number": "928-308-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 E COUNTY HIGHWAY 30A",
            "address_2": "#142",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596478",
            "telephone_number": "928-308-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLETT",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin D Johnson, NP-C
• Kayla Johnson
• Keri J Jones Matheus, W.H.N.P.
• Journey Bravely
• Lauren Karesh, CNP
• Kristine Kester, PNP
• Kenneth E Knowles, RN
• Charles W. Kuebler III, P.A.
• Kristin Jessica Kuehn, DO
• Natasha Lauren Kullas, D.C.

• Social Worker in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.