Active NPI
Keri-Ann Dolphy
- Case Manager/Care Coordinator
- Kissimmee, FL
National Provider Identifier
1609645159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charming Ones, Inc | Drama Therapist | Current | Accepting new patients |
| Loving My Vegan Life, LLC | Counselor | Current | 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
- Doctors Surgery Center LLC
- Doctors' Pain Management Associates, LLC
- Doctors' Pain Management Associates, LLC
- Doctors' Pain Management Associates, LLC
- Annika Sai Doddapaneni
- Sheilam Dominguez Alpizar
- Damisela Dominguez Leyva
- Ana Janette Dominguez, RMHCI
- Darlenys Antonia Dominguez, RBT
- Leslie E. Dominguez
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.