Active NPI
Margaret Mary Kelly, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Largo, FL
National Provider Identifier
1750500252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP888372
- Practice address
- 13800 66TH St
Largo, FL 33771 - Phone
- (727) 507-4203
- Fax
- (727) 544-4015
- NPI assigned
- Apr 24, 2007
- Last updated
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP888372 | FL | Primary |
Addresses
Primary practice location
13800 66TH St
Largo, FL 33771
Mailing address
6150 150TH Ave
Clearwater, FL 33706
Phone (727) 507-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303106300 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP888372 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1750500252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 150TH AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33706",
"telephone_number": "727-507-4673",
"fax_number": "727-507-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "33771",
"telephone_number": "727-507-4203",
"fax_number": "727-544-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MARGARET",
"middle_name": "MARY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP888372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303106300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.