Kelsey Shepley, MT-BC/L

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

2016-05 Issued in ND

Practice address

523 Demers Ave
Grand Forks, ND 58201-4528

Phone

(701) 740-8103

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1235648064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 30TH AVE S APT 104",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014528",
            "telephone_number": "701-740-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLEY",
        "first_name": "KELSEY",
        "credential": "MT-BC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "ND",
            "license": "2016-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUSIC THERAPIST- BOARD CERTIFIED",
            "identifier": "12566",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE MUSIC THERAPY",
            "identifier": "2016-05",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharehouse Grand Forks
• Kamal Sharma
• Anne Marie Sheldon, PT
• Frank J Shelton, MD
• Daniel Shenoda, MD
• Jana Kaye Sherry, RN
• Jodi Lynn Sherve, FNP-C
• Heather Michelle Shimek, FNP-C
• Jessica S Shin, MD
• Skyler Hochstein Shockley, PMHNP

• Music Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Music Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.