Provider Demographics
NPI:1447295720
Name:GEANEY, KERRIE FIELDS (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KERRIE
Middle Name:FIELDS
Last Name:GEANEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19317 UMBERLAND PL
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-0005
Mailing Address - Country:US
Mailing Address - Phone:813-519-3317
Mailing Address - Fax:813-336-8349
Practice Address - Street 1:19317 UMBERLAND PL
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-0005
Practice Address - Country:US
Practice Address - Phone:813-519-3317
Practice Address - Fax:813-336-8349
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3317992363L00000X
FLARNP3317992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP91370Medicare UPIN