Kelly G Ciccone

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2094742 Issued in FL

Practice address

7001 SW 30TH Way
Gainesville, FL 32608-5246

Phone

(772) 321-6980

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1538967492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SW 30TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085246",
            "telephone_number": "772-321-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 SW 30TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085246",
            "telephone_number": "772-321-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "KELLY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN2094742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Kunwoo Chung, M.D.
• Ciarra LLC (CiarraCare)
• Jean E. Cibula, MD
• Judith Ann Cicale, CCC-A, F-AAA
• Emily Jayne Cicali
• Katherine Cich, PHARMD
• Ana Cikara, PHD
• Cindi Gayle, PHD LLC
• Emily Cipponeri
• Nikki Marie Circelli, CRNA

• Registered Nurse in Gainesville, FL
• Providers in Gainesville, 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 6, 2025; 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.