Amanda Marie Kerlin, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH22914 Issued in FL

Practice address

2104 Massey Ave
Jacksonville, FL 32228

Phone

(904) 270-4460

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Marie Benson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1336807130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 KINGS RD",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322663213",
            "telephone_number": "904-514-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 MASSEY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32228",
            "telephone_number": "904-270-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH22914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.m.kerlin.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2104 Massey Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BENSON",
            "middle_name": "MARIE",
            "credential": "CRDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timea Keranovic
• Laura Ann Kereczman, APRN
• Shawnee Kereenyaga
• Charles Vaughn Kerekes, LMFT, LMHC, CAP
• Michael William Kerekgyarto, O.D.
• Katie L Kerlin, ARNP
• Karen Denise Kern, RPH
• Kristin Kern, D.P.T.
• Lindsey Beth Kern, DPT
• Sarah Casey Kern, APRN

• Dental Hygienist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.