Active NPI
Kealey Corey
- Other Specialist/Technologist
- Oak Harbor, WA
National Provider Identifier
1780533802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 1150 NE Goldie St
Oak Harbor, WA 98277-4827 - Phone
- (407) 982-4876
- Fax
- (407) 650-2754
- NPI assigned
- Jan 22, 2026
- 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
1150 NE Goldie St
Oak Harbor, WA 98277-4827
Mailing address
7575 Dr Phillips Blvd Ste 155
Orlando, FL 32819-7220
Phone (407) 982-4876
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautifully Boundless | Single Specialty | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1780533802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 DR PHILLIPS BLVD STE 155",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197220",
"telephone_number": "407-982-4876",
"fax_number": "407-650-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NE GOLDIE ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982774827",
"telephone_number": "407-982-4876",
"fax_number": "407-650-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "KEALEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.