Active NPI
Myra Kelly
- Acupuncturist
- Rancho Palos Verdes, CA
National Provider Identifier
1235602723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18361
- Practice address
- 32622 Nantasket Dr Apt 59
Rancho Palos Verdes, CA 90275-5809 - Phone
- (858) 414-6925
- NPI assigned
- Jan 7, 2019
- Last updated
- Jan 7, 2019
- 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 | 18361 | CA | Primary |
Addresses
Primary practice location
32622 Nantasket Dr Apt 59
Rancho Palos Verdes, CA 90275-5809
Mailing address
32622 Nantasket Dr Apt 59
Rancho Palos Verdes, CA 90275-5809
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": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1235602723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32622 NANTASKET DR APT 59",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32622 NANTASKET DR APT 59",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755809",
"telephone_number": "858-414-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MYRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.