KELLI ANN HATHAWAY APRN
NPI 1639741242
Nurse Practitioner - Family in Ponte Vedra, FL

Q: What is Kelli Hathaway's NPI number?

The NPI number for Kelli Hathaway is 1639741242. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Q: What is Kelli Hathaway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Hathaway was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 13, 2021

PO BOX 87, PONTE VEDRA, FL 32004(904) 655-0207 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 18, 2025, Jul 21, 2021, Jul 13, 2021 (3 updates tracked since 2021).

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About Kelli Ann Hathaway Aprn NPPES

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

KELLI ANN HATHAWAY APRN (NPI 1639741242) is an individual family provider in Ponte Vedra, Florida, licensed in Florida (APRN9278296) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1639741242

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI ANN HATHAWAYCredential: APRN

Location AddressPO BOX 87Ponte Vedra, FL 32004-0087

Mailing AddressPo Box 87Ponte Vedra, FL 32004-0087 · (904) 655-0207

Phone(904) 655-0207

Sole ProprietorYes

Enumeration DateJuly 13, 2021

Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1639741242 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 FL · APRN9278296

PO BOX 87, Ponte Vedra, FL 32004

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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 Kelli Hathaway's NPI number?

The NPI number for Kelli Hathaway is 1639741242. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Kelli Hathaway located?

Kelli Hathaway practices at PO Box 87, Ponte Vedra, FL 32004. The listed phone number is (904) 655-0207.

What is Kelli Hathaway'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 Kelli Hathaway was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.