Active NPI
Cheryl Ann Kelley, CTRS
- Recreation Therapist
- Reno, NV
National Provider Identifier
1386231215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54033
- Practice address
- 975 Kirman Ave
Reno, NV 89502-0993 - Phone
- (775) 785-7175
- NPI assigned
- Dec 27, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 54033 | PA | Primary |
Addresses
Primary practice location
975 Kirman Ave
Reno, NV 89502-0993
Mailing address
1851 Steamboat Pkwy Unit 11402
Reno, NV 89521-6372
Phone (775) 225-7958
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cheryl.kelley654@va.gov | Direct |
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 |
|---|---|---|---|
| 54033 | PA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1386231215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 STEAMBOAT PKWY UNIT 11402",
"city": "RENO",
"state": "NV",
"postal_code": "895216372",
"telephone_number": "775-225-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-785-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-27",
"last_updated": "2020-12-27",
"certification_date": "2020-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "PA",
"license": "54033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cheryl.kelley654@va.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Encrypted email",
"address_1": "975 Kirman Ave",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895020993",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.