Kaitlyn Kerley

Primary specialty

PharmacistTaxonomy code 183500000X

License

46350 Issued in TN

Practice address

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Phone

(727) 398-6661

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1760001044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN ST N",
            "address_2": "APT 716",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723925",
            "country_code": "US",
            "telephone_number": "615-382-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 Abbott Martin Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152615",
            "country_code": "US",
            "telephone_number": "615-297-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Mount Pleasant Rd",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386321909",
            "country_code": "US",
            "telephone_number": "662-429-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100807",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "46350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn.kerley@stores.kroger.com",
            "affiliation": "N",
            "address_1": "2380 Mount Pleasant Rd",
            "city": "Hernando",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386321909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn.kerley@va.gov",
            "affiliation": "N",
            "address_1": "10000 Bay Pines Blvd",
            "city": "Bay Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337448200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael L Kelley, R.N.
• Michael Ryan Kelley, PHARM.D.
• Paige Anne Kelley, PHARM.D.
• John Patrick Kelly, M.D.
• Elizabeth Mae Kemfort, LCSW
• Lisa Marie Kettlestrings, PA -C
• Bernard Khaw, M.D.
• Varun Khedekar, OD
• Abigail Marie King
• Emily G King, PH.D

• Pharmacist in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.