Active NPI
Jeffrey Kelly
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Saint Louis, MO
National Provider Identifier
1255750840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- 940145
- Practice address
- 7220 N Lindbergh
Salyer Perfusion Blvd Ste 360
St. Louis, MO 63042 - Phone
- (341) 838-8300
- Fax
- (314) 838-8304
- NPI assigned
- Apr 10, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 940145 | MO | Primary |
Addresses
Primary practice location
7220 N Lindbergh
Salyer Perfusion Blvd Ste 360
St. Louis, MO 63042
Mailing address
7220 N Lindbergh Blvd
Salyer Perfusion Suite 360
St. Louis, MO 63042
Phone (314) 838-8300
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 |
|---|---|---|---|
| 940145 | MO | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1255750840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 N LINDBERGH BLVD",
"address_2": "SALYER PERFUSION SUITE 360",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63042",
"telephone_number": "314-838-8300",
"fax_number": "314-838-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 N LINDBERGH",
"address_2": "SALYER PERFUSION BLVD STE 360",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63042",
"telephone_number": "341-838-8300",
"fax_number": "314-838-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "MO",
"license": "940145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.