Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shawn Demian Kelly, APRN

Individual provider Family Nurse Practitioner · NPI 1174831093

Mr. Shawn Demian Kelly, APRN is a Nurse Practitioner in Daytona Beach, Florida. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2010, 16 years ago. Practices with Lakeside Endocrine Associates Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
FL
In the registry since
2010
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500
Phone: (386) 274-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9431397 (FL)

Record details

NPI number1174831093
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 14, 2010
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2010 (16 years in practice)
Group practice Lakeside Endocrine Associates Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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