Individual provider Active NPI

Julie B Kessel, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1780938613
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
ME92404 Issued in FL
Practice address
1121 43Rd Ave N
St Petersburg, FL 33703-4539
Phone
(813) 351-0518
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X ME92404 FL Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 200500069 NC
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X MD043245E PA

Addresses

Primary practice location

1121 43Rd Ave N
St Petersburg, FL 33703-4539

Mailing address

1121 43Rd Ave N
St Petersburg, FL 33703-4539
Phone (813) 351-0518

Other identifiers 3

IdentifierTypeStateIssuer
ME 92404OtherFLMD LICENSE
200500069OtherNCSTATE LICENSE
MD043245EOtherPALICENSE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME92404FLMDBehavioral Neurology & Neuropsychiatry Physician
200500069NCMDBehavioral Neurology & Neuropsychiatry Physician
MD043245EPAMDBehavioral Neurology & Neuropsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780938613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 43RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034539",
            "telephone_number": "813-351-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 43RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034539",
            "telephone_number": "813-351-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSEL",
        "first_name": "JULIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "ME92404",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NC",
            "license": "200500069",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "PA",
            "license": "MD043245E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "ME 92404",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "200500069",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD043245E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.