Kellie N Mufalli, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9547044 Issued in FL

Practice address

25090 Divot Dr
Bonita Springs, FL 34135-6730

Phone

(239) 848-0055

NPI assigned

Jun 14, 2024

Last updated

May 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kellie N Huff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1730922139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25090 DIVOT DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25090 DIVOT DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356730",
            "telephone_number": "239-848-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFALLI",
        "first_name": "KELLIE",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2026016279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9547044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "HUFF",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcanthony H Morgan, APRN FNP-C
• Morris J Lipnik MD PA
• Adam J Morris, DC
• Moscato Enterprises LLC (ComForCare Home Care of Southwest Florida)
• Sheila Mourick
• William Owen Murtagh Jr., MD
• My Doctors Farmacy
• My Self Wellness Ins LLC
• Julie Ann Myers-Buczynski, DPT
• Myles Rubin Samotin MD PA (Samotin Orthopaedics)

• Registered Nurse in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.