Kelly Pope

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP606867 Issued in TX

Practice address

2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324

Phone

(561) 244-3627

Fax

(561) 244-9627

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• CLH Physicians PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1073613931
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740322254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "ARNP606867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "ARNP606867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinn Daniel Polnasek
• Edward Saul Polsky, DDS
• Wilberte Augusta Polycarpe, LPN
• Maria Pontier-Elias
• Carmion Pope, AP
• Stuart M Popowitz, MD
• Inna Porotsky, RNC-OB, BSN
• Vicky Porter, RD, LD
• Posh Atlantic Medical Care LLC
• Positive Bonds Behavioral LLC

• Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.