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MRS. KELLY DIANA SERPICO
NPI 1487488623
Nurse Practitioner - Family in Berkeley, CA

Active since August 29, 2024
2344 6TH ST, BERKELEY, CA 94710(510) 981-4100 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Diana Serpico NPPES

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

MRS. KELLY DIANA SERPICO (NPI 1487488623) is an individual family provider in Berkeley, California, licensed in California (95027159) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1487488623
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY DIANA SERPICO
Location Address2344 6TH STBerkeley, CA 94710-2412
Mailing Address2344 6th StBerkeley, CA 94710-2412
Phone(510) 981-4100
Sole ProprietorNo
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1487488623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95027159
2344 6TH ST, Berkeley, CA 94710
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELONG MEDICAL CENTER
Nursing Care
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
MERRY BETH GONG M.D.
Hospitalist
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-3203
FREDALYNE BENITEZ TOLENTINO RD
Dietitian, Registered
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
CHERI GILLIES RN
Registered Nurse
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4165
EMILY BONE
Dietitian, Registered
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
LIFELONG MEDICAL CARE
Clinic/Center (Community Health)
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
CAITRYN LIM NP
Nurse Practitioner (Family)
2344 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
MARISSA SIMKO FNP
Nurse Practitioner
2344 6TH ST
BERKELEY, CA 94710
Alameda County (000) 000-0000

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 Serpico's NPI number?

The NPI number for Kelly Serpico is 1487488623. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Kelly Serpico located?

Kelly Serpico practices at 2344 6th St, Berkeley, CA 94710. The listed phone number is (510) 981-4100.

What is Kelly Serpico's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Serpico was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.