Active NPI
Kay Marie Todd
- Peer Specialist
- Medford, OR
National Provider Identifier
1043061930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 305 S Fir Street
Medford, OR 97501 - Phone
- (541) 200-3000
- Fax
- (541) 787-6072
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OR | Primary |
Addresses
Primary practice location
305 S Fir Street
Medford, OR 97501
Mailing address
PO Box 1133
Medford, OR 97501
Phone (541) 200-3000
Other names 1
- Kay Marie Bellgraph
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roc Recovery Center | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Medford, OR
- NPI 1255075412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1043061930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1133",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-200-3000",
"fax_number": "541-787-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S FIR STREET",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-200-3000",
"fax_number": "541-787-6072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KAY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAY",
"last_name": "BELLGRAPH",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.