1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Point Of Service
  6. NPI Profile

TASHIANA KELLY
NPI 1528666146
Point of Service in Jacksonville, FL

Active since October 15, 2020
2611 UNIVERSITY BLVD N APT C203, JACKSONVILLE, FL 32211(904) 248-2208 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tashiana Kelly NPPES

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

TASHIANA KELLY (NPI 1528666146) is an individual point of service provider in Jacksonville, Florida, licensed in Florida (W689477) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1528666146
Entity TypeIndividualFemale
Primary Taxonomy305S00000X
Provider Legal NameTASHIANA KELLY
Location Address2611 UNIVERSITY BLVD N APT C203Jacksonville, FL 32211-3287
Mailing Address2611 University Blvd N Apt C203Jacksonville, FL 32211-3287 · (904) 248-2208
Phone(904) 248-2208
Sole ProprietorYes
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1528666146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in FL · W689477
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2611 UNIVERSITY BLVD N APT C203, Jacksonville, FL 32211
Open in Google Maps ↗

Other Identifiers 1

OtherK400801859330FL · State Identification

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 Tashiana Kelly's NPI number?

The NPI number for Tashiana Kelly is 1528666146. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Tashiana Kelly located?

Tashiana Kelly practices at 2611 University Blvd N Apt C203, Jacksonville, FL 32211. The listed phone number is (904) 248-2208.

What is Tashiana Kelly's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Tashiana Kelly was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.