Active NPI
Debbie L Kelley, AU D
- Audiologist
- Sedona, AZ
National Provider Identifier
1013136753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA1429
- Practice address
- 61 Bell Rock PLZ
Ste B
Sedona, AZ 86351-8810 - Phone
- (928) 284-2116
- Fax
- (928) 496-2122
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA1429 | AZ | Primary |
Addresses
Primary practice location
61 Bell Rock PLZ
Ste B
Sedona, AZ 86351-8810
Mailing address
39506 N Daisy Mountain Dr
Suite 122-624
Anthem, AZ 85086-1663
Phone (928) 284-2116
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013136753 | Other | AZ | INDIVIDUAL NPI |
| 1528487014 | Other | AZ | GROUP NPI |
| Z164325 | Other | AZ | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1013136753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39506 N DAISY MOUNTAIN DR",
"address_2": "SUITE 122-624",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861663",
"telephone_number": "928-284-2116",
"fax_number": "928-496-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BELL ROCK PLZ",
"address_2": "STE B",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863518810",
"telephone_number": "928-284-2116",
"fax_number": "928-496-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "DEBBIE",
"middle_name": "L",
"credential": "AU D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA1429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1013136753",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1528487014",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z164325",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.