Angela Marie Kelly
Individual provider Active NPI Home Health Registered Nurse · Freeport, FL
NPI 1700775574 · NPPES record last updated Jun 28, 2025
Key facts
- NPI
- 1700775574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN9497928 (FL)
- Practice address
- 164 Eagles Nest Dr
Freeport, FL 32439-2392 - Phone
- (815) 347-3728
- NPI assigned
- Jun 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9497928 | FL | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9497928 | FL | Yes |
Addresses
Primary practice location
164 Eagles Nest Dr
Freeport, FL 32439-2392
Mailing address
164 Eagles Nest Dr
Freeport, FL 32439-2392
Other providers in Freeport, FL
- Natalie Faith Hudson
- Kelly Jamison
- Jennewein, NP-C, LLC
- Samantha Claire Johnson
- Rachel Lyn Kalb
- Dina Kennedy
- Leslie Jeniene Kimzey
- Jennifer Logan Laird
- Morgan Lightsey-Santos
- Hans Charles Nels Lindvall
All providers in Freeport, FL · Home Health Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.