Kelly Reber DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0195 Issued in AZ

Legal business name

KELLY REBER DPM, PC

Doing business as

Northern Arizona Podiatry Group

Practice address

940 N Switzer Canyon Dr
Suite 102
Flagstaff, AZ 86001-4852

Phone

(928) 779-5111

Fax

(928) 779-1374

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Alicia Brown

Title

Credentialing

Phone

(928) 779-5111

Specialties & licenses 1

Addresses

Other names 1

• Northern Arizona Podiatry Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron Anthon Olsen, DPM

  • Podiatrist
  • Queen Creek, AZ
  • NPI 1972510675
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1073713095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR",
            "address_2": "SUITE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111",
            "fax_number": "928-779-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR",
            "address_2": "SUITE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111",
            "fax_number": "928-779-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY REBER DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "928-779-5111"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Arizona Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Dominique Keller, PA-C
• Sandra Taylor Kellett, PA-C
• Judith Amanda Kelley, MD
• Ralph Zane Kelley, DO
• Star Kelley, LCSW
• Nicole Angela Kelly-Gordon
• Melissa C Kelly, PHARMD
• Roger Casey Kelly
• Kelley Jeanine Kelson, RDN
• Eric Davis Kendle, M.D.

• Podiatrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.