Michael L Kelley, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

85850-2 Issued in FL

Practice address

10000 Bay Pines Blvd
Bay Pines Veterans Hospital
Bay Pines, FL 33504

Phone

(727) 398-6661

NPI assigned

Mar 10, 2008

Sex

Male

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1427228147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 52ND AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342113726",
            "telephone_number": "941-755-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES VETERANS HOSPITAL",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33504",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "85850-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Christopher Justice, PHARMD
• Joseph Daniel Justino, PHARM D, BCPP
• Erich Kalbfell, RRT
• Adam Karwatowicz, MD
• Jessica Anne Keith, PH.D.
• Michael Ryan Kelley, PHARM.D.
• Paige Anne Kelley, PHARM.D.
• John Patrick Kelly, M.D.
• Elizabeth Mae Kemfort, LCSW
• Kaitlyn Kerley

• Registered Nurse in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.