Savannah Dawn Kelley, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-00856 Issued in KS

Practice address

1156 Highway 14
Ellsworth, KS 67439-8661

Phone

(785) 472-3167

NPI assigned

Apr 9, 2012

Last updated

Dec 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1447516042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S COLORADO ST",
            "city": "KANOPOLIS",
            "state": "KS",
            "postal_code": "674540091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 HIGHWAY 14",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674398661",
            "telephone_number": "785-472-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SAVANNAH",
        "middle_name": "DAWN",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "T-03189",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-00856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ellsworth@summitcare.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1156 Highway 14",
            "city": "Ellsworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674398661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christena Hanson, RPAC
• Mackenzie Leigh Helman
• Mark A. Herzog, D.D.S, P.A.
• Ashley Marie Hlad, MSN, APRN, FNP-C
• Sheri Jonsson, MS, RD, LD
• Dennis Joseph Kepka, MD
• Kyle Gwinner OD LLC
• Ryan T Lahey, PA-C
• Emily S Lindsley, ARNP
• Trevor Benjamin Lowe, PTA

• Occupational Therapy Assistant in Ellsworth, KS
• Providers in Ellsworth, KS by specialty
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.