Individual provider Active NPI

Kelly A McLeod, APRN

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1407589237
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11020653 Issued in FL
Practice address
3333 Cattlemen Rd Ste 202
Sarasota, FL 34232-6058
Phone
(941) 342-8892
Fax
(941) 342-8893
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11020653 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 202
Sarasota, FL 34232-6058

Mailing address

943 S Beneva Rd Ste 306
Sarasota, FL 34232-2499
Phone (941) 955-1108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastrocrdsm@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818001586 FL Practitioner - Nurse Practitioner 3072996313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarasota Spine and Sport Chiropractic ClinicGroup PAC ID 8426293127, 5 clinicians

Practice addresses (Care Compare)

3900 Clark Rd
Suite H1
Sarasota, FL 34233-2366
Phone (941) 926-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11020653FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Spine & Sport Chiropractic Clinic CurrentSince Aug 4, 2025 Accepting new patients
Sarasota Spine & Sport Chiropractic Clinic CurrentSince Aug 4, 2025 Accepting new patients
Kennedy White & Riggs Orthopedic Associates CurrentSince Jan 13, 2025 Accepting new patients
Kennedy White & Riggs Orthopedic Associates CurrentSince Jan 13, 2025 Accepting new patients

Locations

6050 Cattleridge Blvd
Ste 201
Sarasota, FL 34232
Phone (941) 365-0655

3900 Clark Rd
Ste H1
Sarasota, FL 34233
Phone (941) 926-1600

Interoperability endpoints

  • Direct secure messaging: kmcleod@kwoc1429.srs-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1407589237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD STE 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322499",
            "telephone_number": "941-955-1108",
            "fax_number": "941-954-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-342-8892",
            "fax_number": "941-342-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11020653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastrocrdsm@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 202",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.