Organization Active NPI

Kelley Medical Billing, LLC

  • Other Technician
  • Bonita Springs, FL
National Provider Identifier
1053717314
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
KELLEY MEDICAL BILLING, LLC
Practice address
24509 Amarillo St
Bonita Springs, FL 34135-7086
Phone
(239) 571-2168
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Susan Evelyn Kelley
Title
Operating Manager
Phone
(239) 571-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

24509 Amarillo St
Bonita Springs, FL 34135-7086

Mailing address

24509 Amarillo St
Bonita Springs, FL 34135-7086
Phone (239) 571-2168

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1053717314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24509 AMARILLO ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357086",
            "telephone_number": "239-571-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24509 AMARILLO ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357086",
            "telephone_number": "239-571-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY MEDICAL BILLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "239-571-2168"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.