Individual provider Active NPI

Kelly Traylor

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1710341557
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9258734 Issued in FL
Practice address
4266 Sunbeam Rd
Jacksonville, FL 32257-6030
Phone
(904) 407-7710
Fax
(904) 407-8131
NPI assigned
Apr 7, 2016
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9258734 FL
Family Nurse Practitioner 363LF0000X 9258734 FL Primary

Addresses

Primary practice location

4266 Sunbeam Rd
Jacksonville, FL 32257-6030

Mailing address

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216-0986
Phone (904) 281-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422001594 FL Practitioner - Nurse Practitioner 2769781947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
At Home Palliative Care, LLCGroup PAC ID 3274900410, 6 clinicians

Practice addresses (Care Compare)

263 River Hills Dr
Suite 3
Jacksonville, FL 32216-8980
Phone (904) 222-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9258734FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Aug 30, 2016 Accepting new patients
Rmed LLC CurrentSince Aug 30, 2016 Accepting new patients
Iah of Florida, LLC CurrentSince Aug 30, 2016 Accepting new patients
At Home Palliative Care, LLC CurrentSince May 1, 2023 Accepting new patients
Ahpc Health Incorporated CurrentSince Nov 17, 2025 Accepting new patients

Locations

263 River Hills Dr
Ste 3
Jacksonville, FL 32216
Phone (904) 222-2272

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

463688 State Road 200
Ste 1
Yulee, FL 32097
Phone (904) 548-8283

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1710341557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD",
            "address_2": "STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160986",
            "telephone_number": "904-281-1915",
            "fax_number": "904-281-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 SUNBEAM RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576030",
            "telephone_number": "904-407-7710",
            "fax_number": "904-407-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9258734",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9258734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.