Individual provider Active NPI

Keri-Ann Dolphy

  • Case Manager/Care Coordinator
  • Kissimmee, FL
National Provider Identifier
1609645159
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
21 Northfleet LN
Kissimmee, FL 34758-3142
Phone
(917) 416-8072
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Primary
Homemaker 376J00000X
Adult Companion 372600000X
Drama Therapist 101200000X

Addresses

Primary practice location

21 Northfleet LN
Kissimmee, FL 34758-3142

Mailing address

21 Northfleet LN
Kissimmee, FL 34758-3142
Phone (917) 416-8072

Other practice location 1

435 Albatross Ct Unit A
Kissimmee, FL 34759-4441
Phone (407) 801-9092

Other practice location 2

435 Albatross Ct Unit B
Kissimmee, FL 34759-4441
Phone (407) 801-9092

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charming Ones, Inc Drama Therapist CurrentSince Dec 31, 2023 Accepting new patients
Loving My Vegan Life, LLC Counselor CurrentSince Aug 25, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1609645159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTHFLEET LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583142",
            "telephone_number": "917-416-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHFLEET LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583142",
            "telephone_number": "917-416-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Albatross Ct Unit A",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347594441",
            "country_code": "US",
            "telephone_number": "407-801-9092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Albatross Ct Unit B",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347594441",
            "country_code": "US",
            "telephone_number": "407-801-9092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLPHY",
        "first_name": "KERI-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.