Brielle E Kelly, L.AC., DIPL.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10375 Issued in CA

Practice address

10 El Camino Real
Suite 202
San Carlos, CA 94070-2451

Phone

(650) 596-5616

Fax

(650) 596-5653

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brielle E. Kelly, L.Ac., Inc.

  • Acupuncturist
  • San Carlos, CA
  • NPI 1679752505
  NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1164509253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702451",
            "telephone_number": "650-596-5616",
            "fax_number": "650-596-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702451",
            "telephone_number": "650-596-5616",
            "fax_number": "650-596-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIELLE",
        "middle_name": "E",
        "credential": "L.AC., DIPL.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001912",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Kay
• Kori Wong Kazama
• Jennifer D. Keen-Kim, PH.D
• Corinne Elizabeth Keer
• Shayna Keller
• Richard Kemp, D.C.
• Katherine Teresa Kennedy, D.P.T.
• Darlene Marie Keohane, RTC
• Melissa Chava Kertz, LCSW
• Nicole Susan Ketterman, M.D.

• Acupuncturist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.