Individual provider Active NPI

Sabrina Kelley, CRNP

  • Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1942223680
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11024688 Issued in FL
Practice address
13569 Panama City Beach Pkwy
Panama City Beach, FL 32407-2847
Phone
(850) 238-8563
Fax
(850) 238-8564
NPI assigned
Jul 25, 2006
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11024688 FL Primary

Addresses

Primary practice location

13569 Panama City Beach Pkwy
Panama City Beach, FL 32407-2847

Mailing address

13569 Panama City Beach Pkwy
Panama City Beach, FL 32407-2847
Phone (850) 238-8563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20060928000371 AL Practitioner - Nurse Practitioner 8022013846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11024688FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics & Gynecology of Dothan Inc Obstetrics & Gynecology CurrentSince Nov 11, 2017 Accepting new patients

Locations

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

1458 Whatley Dr
Dothan, AL 36303
Phone (334) 671-9445

Interoperability endpoints

  • Direct secure messaging: sabrina.kelley.1@18303.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1942223680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13569 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072847",
            "telephone_number": "850-238-8563",
            "fax_number": "850-238-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13569 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072847",
            "telephone_number": "850-238-8563",
            "fax_number": "850-238-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.