Active NPI
Kelly Thompson
- Art Therapist
- Saukville, WI
National Provider Identifier
1326681479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 534 E Green Bay Ave
Saukville, WI 53080-2012 - Phone
- (262) 388-3700
- NPI assigned
- Oct 22, 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
534 E Green Bay Ave
Saukville, WI 53080-2012
Mailing address
1512 Hickory CT
Port Washington, WI 53074-2403
Phone (262) 388-3700
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kellythompsonfineart.com/contact | ||
| CONNECT URL | https://www.kellythompsonfineart.com/contact |
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": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1326681479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 HICKORY CT",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742403",
"telephone_number": "262-388-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 E GREEN BAY AVE",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530802012",
"telephone_number": "262-388-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kellythompsonfineart.com/contact",
"affiliation": "N",
"address_1": "534 E Green Bay Ave",
"city": "Saukville",
"state": "WI",
"country_code": "US",
"postal_code": "530802012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kellythompsonfineart.com/contact",
"affiliation": "N",
"address_1": "534 E Green Bay Ave",
"city": "Saukville",
"state": "WI",
"country_code": "US",
"postal_code": "530802012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saukville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.