Active NPI
Kelley Harrell, MT-BC
- Music Therapist
- Faribault, MN
National Provider Identifier
1093550717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17215
- Practice address
- 400 6TH Ave SE
Faribault, MN 55021-6343 - Phone
- (507) 384-6725
- NPI assigned
- Jun 25, 2024
- Last updated
- Jun 25, 2024
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 17215 | MN | Primary |
Addresses
Primary practice location
400 6TH Ave SE
Faribault, MN 55021-6343
Mailing address
18351 Kenyon Ave Apt 313
Lakeville, MN 55044-4748
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 |
|---|---|---|---|
| 17215 | MN | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1093550717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18351 KENYON AVE APT 313",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 6TH AVE SE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216343",
"telephone_number": "507-384-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "KELLEY",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "MN",
"license": "17215",
"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 Jun 25, 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.