Kelvin Yaton Garrison

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

171244666 Issued in FL

Practice address

23134 NW 5TH PL
Newberry, FL 32669-3553

Phone

(813) 777-5092

NPI assigned

May 15, 2024

Last updated

May 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony at Newberry Assisted Living Facility, LLC.

  • Assisted Living Facility
  • Newberry, FL
  • NPI 1881498947
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1902655756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23134 NW 5TH PL",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23134 NW 5TH PL",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693553",
            "telephone_number": "813-777-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KELVIN",
        "middle_name": "YATON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "171244666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont Peak Emergency Physicians LLC
• Adreana Marlene Gaines
• Briana Gabriella Gaines, PH.D., LPC
• Gainesville Emergency Medical Associates PA
• Jacob Randel Gamble
• Geriatrics Associates of Gainesville Inc
• Kyrsten Giebeig, PT, DPT
• Sally Glaeser, M.D.
• Benjamin Goc
• Ana Helena Goldstein, DMD

• Nursing Home Administrator in Newberry, FL
• Providers in Newberry, FL by specialty
• Nursing Home Administrator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.