KERRI DANIELS MD NPI 1134348469

NPI Information

NPI: 1134348469
Provider Name: KERRI DANIELS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3235 SW PORT ST LUCIE BLVD STE 105
PORT ST LUCIE, FL
ZIP 34953
Phone: (772) 408-5063
Get Directions

Kerri Daniels, MD is a pediatrics in Port St Lucie, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kerri Daniels, MD NPI is 1134348469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3235 SW PORT ST LUCIE BLVD STE 105
PORT ST LUCIE, FL
ZIP 34953-405
Phone: (772) 408-5063
Fax: (844) 540-4793

The enumeration date for this NPI number is 4/25/2007 and was last updated on 3/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME108559	FLORIDA	Yes
2	208000000X	Pediatrics		E-5922	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	176958001	MEDICAID	ARKANSAS
2	002991300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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