Active NPI
Gina D Kelly, MT-BC
- Music Therapist
- Rochester, MN
National Provider Identifier
1194086033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 1216 2ND St SW
Generose 3-410
Rochester, MN 55902 - Phone
- (507) 255-5548
- NPI assigned
- Jun 7, 2012
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
1216 2ND St SW
Generose 3-410
Rochester, MN 55902
Mailing address
1216 2ND St SW
Generose 3-410
Rochester, MN 55902
Phone (507) 255-5548
Other practice location 1
300 N. 12th St.
Clear Lake, IA 50428
Phone (641) 357-0712
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1194086033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 2ND ST SW",
"address_2": "GENEROSE 3-410",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55902",
"telephone_number": "507-255-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 2ND ST SW",
"address_2": "GENEROSE 3-410",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55902",
"telephone_number": "507-255-5548"
}
],
"practiceLocations": [
{
"address_1": "300 N. 12th St.",
"address_purpose": "LOCATION",
"city": "Clear Lake",
"state": "IA",
"postal_code": "50428",
"country_code": "US",
"telephone_number": "641-357-0712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "GINA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.