Kelly Patton

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

111 Arrowhead Dr Unit D
Slippery Rock, PA 16057-2631

Phone

(717) 862-8722

Fax

(717) 326-1111

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1013377407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARROWHEAD DR UNIT D",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572631",
            "telephone_number": "717-862-8722",
            "fax_number": "717-326-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARROWHEAD DR UNIT D",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572631",
            "telephone_number": "717-862-8722",
            "fax_number": "717-326-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Renee Nash, D.O.
• Charles Randall Nebel, DC
• North Country Counseling LLC
• Atit Patel
• Richard Donald Patterson Jr., MS, ATC
• Pennsylvania Mobile Anesthesia Associates, LLC
• Phyllis Rene Crafton
• Robin L Plank, D.O.
• Laraib Rasool, PA-C
• Brandon Rea, LAT, ATC

• All providers in Slippery Rock, PA
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.