Kerry-Ann Leonie Rapheal, BS, ICCE, CLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

319 Milestone Dr
Tallahassee, FL 32312-3575

Phone

(410) 948-5626

NPI assigned

Apr 29, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1760046320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MILESTONE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123575",
            "telephone_number": "410-948-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MILESTONE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123575",
            "telephone_number": "410-948-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHEAL",
        "first_name": "KERRY-ANN",
        "middle_name": "LEONIE",
        "name_prefix": "Mrs.",
        "credential": "BS, ICCE, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "280574",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.