Individual Healthcare Provider
Brittany Buchanan Kelly, APRN
Provider's NPPES record last updated: June 23, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1174860357
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Ponte Vedra, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 11:04 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- APRN9378013
Practice Locations
Practice Location
400 Colonnade Dr Ste 230
Ponte Vedra, Florida 32081-6237
Phone: (904) 640-8249
Additional Practice Location
6879 Southpoint Dr N
Jacksonville, Florida 32216-6179
Phone: (904) 296-2441
Fax: (904) 821-3113
Additional Practice Location
14540 Old Saint Augustine Rd Ste 2499
Jacksonville, Florida 32258-7418
Phone: (904) 296-2441
Fax: (904) 345-3150
Record Information
- Enumeration Date
- January 8, 2013
- Provider's NPPES Record Last Updated
- June 23, 2023
- Certification Date
- June 23, 2023
- NPISignal NPPES Dataset
- August 2026
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