Betty Cheney Kelly, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME135059 Issued in FL

Practice address

1755 W Hibiscus Blvd
Melbourne, FL 32901-2616

Phone

(321) 724-5437

Fax

(321) 724-5570

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: betty.cheney.1@8042.direct.athenahealth.com

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)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1942683594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S WOODS DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553262",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012616",
            "telephone_number": "321-724-5437",
            "fax_number": "321-724-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 S Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553262",
            "country_code": "US",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7332 Office Park Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329408241",
            "country_code": "US",
            "telephone_number": "321-435-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 W Cocoa Beach Cswy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313562",
            "country_code": "US",
            "telephone_number": "321-784-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENEY KELLY",
        "first_name": "BETTY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME135059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024240500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CHCS Nexus
• Venkata Naga Laxmi Cheedhella, RPH
• Michael Wayne Chen, M.D.
• Tungan Mary Chen, APRN
• Cedric C Chenet, DDS
• Amanda L Cheshire, M.D.
• Gregory Earl Cheshire, D.M.D.
• Natalie Gabrielle Cheshire, DPT
• Emily Anna Chesley, MS, CCC-SLP
• Dawn M Chidebell, MM, MT-BC

• Pediatrics Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.