Individual provider Active NPI

Sherrye Kinnebrew, APRN

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1467834929
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9319673 Issued in FL
Practice address
9250 Cypress Green Dr
Jacksonville, FL 32256-1885
Phone
(904) 269-2437
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9319673 FL
Adult Health Nurse Practitioner 363LA2200X APRN9319673 FL Primary

Addresses

Primary practice location

9250 Cypress Green Dr
Jacksonville, FL 32256-1885

Mailing address

14250 Falconhead CT
Jacksonville, FL 32224-3801
Phone (904) 333-1340

Other practice location 1

9119 Merrill Rd Ste 38
Jacksonville, FL 32225-4306
Phone (904) 269-2437

Other names 1

  • Sherrye Frady Former name

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
I20230105000312 FL Practitioner - Nurse Practitioner 0547630766 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VK Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
Integrative Healthcare Solutions, Inc CurrentSince Dec 8, 2022 Accepting new patients
VK Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
VK Medical Group LLC PastSince Nov 19, 2023 Accepting new patients
Musa Chiropractic & Wellness Center Inc PastSince May 6, 2002 Accepting new patients
Maximum Physical Healthcare LLC PastSince May 21, 2016 Accepting new patients
Accmed Healthcare Systems Inc PastSince Aug 1, 2021 Accepting new patients

Locations

1313 Beach Blvd
Ste C
Jax Bch, FL 32250
Phone (904) 372-0623

1218 Park Ave
Orange Park, FL 32073

Organizations & group practices 7

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1467834929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14250 FALCONHEAD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243801",
            "telephone_number": "904-333-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 CYPRESS GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561885",
            "telephone_number": "904-269-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 Merrill Rd Ste 38",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322254306",
            "country_code": "US",
            "telephone_number": "904-269-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEBREW",
        "first_name": "SHERRYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9319673",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9319673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRYE",
            "last_name": "FRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.