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KELLY MARIE O'BRIEN ARNP
NPI 1124614789
Nurse Practitioner in Pace, FL

Active since December 17, 2020
4663 AUTUMNDALE DR, PACE, FL 32571(850) 776-3325 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Jan 12, 2022, Jan 21, 2021 and 1 more (4 updates tracked since 2020).

About Kelly Marie O'brien Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE O'BRIEN ARNP (NPI 1124614789) is an individual nurse practitioner in Pace, Florida, licensed in Florida (APRN11011201) and active in the NPI registry since December 2020. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1124614789
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY MARIE O'BRIENCredential: ARNP
Location Address4663 AUTUMNDALE DRPace, FL 32571-1394
Mailing Address4663 Autumndale DrPace, FL 32571-1394 · (850) 776-3325
Phone(850) 776-3325
Sole ProprietorNo
Enumeration DateDecember 17, 2020
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1124614789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11011201
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN9196840 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11011201 (FL)
4663 AUTUMNDALE DR, Pace, FL 32571
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Secondary Practice Location 1

Location 18875 Hidden River Pkwy Ste 300Tampa, FL 33637-2087 · Phone (866) 949-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly O'brien's NPI number?

The NPI number for Kelly O'brien is 1124614789. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Kelly O'brien located?

Kelly O'brien practices at 4663 Autumndale Dr, Pace, FL 32571. The listed phone number is (850) 776-3325.

What is Kelly O'brien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly O'brien was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.