Active NPI
Erin Michelle Kelly, MAOM
- Acupuncturist
- Faribault, MN
National Provider Identifier
1093529919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1842
- Practice address
- 22 Greenhaven Bay
Faribault, MN 55021-9237 - Phone
- (507) 400-5680
- NPI assigned
- Feb 3, 2025
- Last updated
- Feb 3, 2025
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1842 | MN | Primary |
Addresses
Primary practice location
22 Greenhaven Bay
Faribault, MN 55021-9237
Mailing address
22 Greenhaven Bay
Faribault, MN 55021-9237
Phone (507) 400-5680
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1842 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1093529919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 GREENHAVEN BAY",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550219237",
"telephone_number": "507-400-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 GREENHAVEN BAY",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550219237",
"telephone_number": "507-400-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ERIN",
"middle_name": "MICHELLE",
"credential": "MAOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.