Kassidy Marie Boliek-Gelb

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11027823 Issued in FL

Practice address

9210 King Palm Dr
Tampa, FL 33619-8332

Phone

(813) 827-9356

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassidy Marie Boliek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)
• Sudarsan Kamisetty, M.D.,P.a

  • Specialist
  • Brandon, FL
  • NPI 1629099163
  NPD (past)
• Weecare for Kids PA

  • Pediatrics Physician
  • Riverview, FL
  • NPI 1144636861
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1871275826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 GRAY WHETSTONE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117792",
            "telephone_number": "352-255-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 KING PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198332",
            "telephone_number": "813-827-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIEK-GELB",
        "first_name": "KASSIDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11027823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "BOLIEK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arica Joy Bolechala, BCBA
• Nia Lillian Bolen-Daniels, OTR
• Brian Keith Bolen, PSY. D., L.M.H.C.
• Charles B. Boles, M.D.
• Bolesta Center, Inc.
• Kelly Marie Bolin, APRN
• Claudia Bolivar, COTA/L
• Rishi Raghavendar Bolla
• Sureka Bollepalli, M.D.
• David Anthony Bollinger, R.EEGT,

• Pediatric Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.