Active NPI
Kerline Bellevue
- Family Nurse Practitioner
- Salisbury, NC
National Provider Identifier
1740727049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3108482
- Practice address
- 1601 Brenner Ave
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3108482 | FL | Primary |
Addresses
Primary practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Mailing address
13993 SW 153Rd Terrace
Miami, FL 33177
Phone (786) 656-5762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3108482 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KB Group Home Galliano, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Miami, FL
- NPI 1801774278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1740727049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13993 SW 153RD TERRACE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33177",
"telephone_number": "786-656-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEVUE",
"first_name": "KERLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "3108482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.