Kellie Tannock, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11035483 Issued in FL

Practice address

1009 SW 16TH LN
Ocala, FL 34471-1228

Phone

(352) 351-3413

Fax

(352) 629-6667

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fakhoury Medical and Chiropractic Center PLLCGroup PAC ID 8628116464, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fakhoury Medical & Chiropractic Center PLLC

  • Chiropractor
  • Ocala, FL
  • NPI 1144458480

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1891516993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 SE 44TH AVE",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203721",
            "telephone_number": "352-843-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNOCK",
        "first_name": "KELLIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Emergency Physicians-Heartland LLC
• Desiree F Tan, PT
• Manuel Nelson Tan, MD
• Thea Grace Tani, DPT
• Skylar Tanner
• Tricia Tarantino, BCBA
• Aneta Tarasiuk-Rusek, M.D.
• Rebecca J Tarver, DMD
• Jesse Tatum
• Harvey Carl Taub, MD

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.