Kellie Vasan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007720 Issued in FL

Practice address

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165

Phone

(813) 531-8550

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1730869157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147165",
            "telephone_number": "813-531-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAN",
        "first_name": "KELLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Varone, MS CF SLP
• Shivani Varshney, MD
• Samip C. Vasaiwala, M.D.
• Olga Vasallo Clavijo
• Naimy Vasallo, RRT
• Rohit Vasan, M.D.
• Prakash Vasanthakumar
• Ruhi P. Vasavada-Patel, MD
• Vasco M Marques MD PA
• Vascular Access Care, LLC

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.