Coralie McKibben

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

225 S Tropical TRL Apt 619
Merritt Island, FL 32952-4878

Phone

(321) 313-9861

NPI assigned

Sep 12, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Helping Hands of Brevard LLC

  • Home Health Agency
  • Merritt Island, FL
  • NPI 1124481072

  In Home Supportive Care

  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1750864914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S TROPICAL TRL APT 619",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524878",
            "telephone_number": "321-313-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S TROPICAL TRL APT 619",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524878",
            "telephone_number": "321-313-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "CORALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Anne McGovern, RN
• Lynne A McGuire, LPN
• Nicole Renee McKenzie, DPT
• Shelley K McKenzie
• Tyler Scott McKenzie
• Donna Pfeister McLaughlin, P.T.
• Megan Melissa McLean, MA CCC-SLP
• Tasha Louise McLeroy, COTA/L
• Calandra McMillan
• Naomi McNeil

• In Home Supportive Care Agency in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.