Individual provider Active NPI

Scarlett A Kinley, D.P.M.

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1649326802
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2265 Issued in FL
Practice address
321 S Lincoln Ave
Clearwater, FL 33756-5823
Phone
(727) 441-8640
Fax
(727) 441-8651
NPI assigned
Jan 28, 2007
Reactivated
Mar 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2265 FL Primary

Addresses

Primary practice location

321 S Lincoln Ave
Clearwater, FL 33756-5823

Mailing address

321 S Lincoln Ave
Clearwater, FL 33756-5823
Phone (727) 441-8640

Other identifiers 5

IdentifierTypeStateIssuer
65290OtherFLBCBS INDIVIDUAL
PO2265OtherFLMEDICAL LICENSE
P01031287OtherFLRR MEDICARE INDIVIDUAL
390203000MedicaidFL
65290OtherFLMEDICARE INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2265FLMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: scarlett.kinley@skdp-fl.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1649326802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S LINCOLN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565823",
            "telephone_number": "727-441-8640",
            "fax_number": "727-441-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S LINCOLN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565823",
            "telephone_number": "727-441-8640",
            "fax_number": "727-441-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLEY",
        "first_name": "SCARLETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2025-03-11",
        "deactivation_date": "2025-02-07",
        "reactivation_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "65290",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PO2265",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "P01031287",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390203000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "65290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.