Individual provider Active NPI

Kristin Dru Kerr, M.D.

  • General Practice Physician
  • Lantana, FL
National Provider Identifier
1356535439
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0039026 Issued in FL
Practice address
2516 Donnelly Drive
Kristin D. Kerr, M.D., P.a.
Lantana, FL 33462-2518
Phone
(561) 967-2972
Fax
(561) 967-2972
NPI assigned
Aug 31, 2007
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0039026 FL
General Practice Physician 208D00000X ME0039026 FL Primary

Addresses

Primary practice location

2516 Donnelly Drive
Kristin D. Kerr, M.D., P.a.
Lantana, FL 33462-2518

Mailing address

2516 Donnelly Drive
Kristin D. Kerr, M.D., P.a.
Lantana, FL 33462-2518
Phone (561) 967-2972

Other identifiers 1

IdentifierTypeStateIssuer
62461OtherFLBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0039026FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Concepts Past Accepting new patients
Winter Park OBGYN Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1356535439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 DONNELLY DRIVE",
            "address_2": "KRISTIN D. KERR, M.D., P.A.",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622518",
            "telephone_number": "561-967-2972",
            "fax_number": "561-967-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 DONNELLY DRIVE",
            "address_2": "KRISTIN D. KERR, M.D., P.A.",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622518",
            "telephone_number": "561-967-2972",
            "fax_number": "561-967-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KRISTIN",
        "middle_name": "DRU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0039026",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0039026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "62461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.