Active NPI
Kelly Lynn Fields
- Contractor
- Dayton, OH
National Provider Identifier
1417205659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1 Wyoming Street
Dayton, OH 45409 - Phone
- (937) 573-7645
- NPI assigned
- Aug 20, 2012
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
1 Wyoming Street
Dayton, OH 45409
Mailing address
562 Hathaway Trail
Tipp City, OH 45371
Phone (937) 506-2448
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": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1417205659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 HATHAWAY TRAIL",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "45371",
"telephone_number": "937-506-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING STREET",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-573-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "KELLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.