Active NPI
Sandra L Owen-Kelly, L AC.
- Acupuncturist
- Livingston Manor, NY
National Provider Identifier
1477855963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002488-1
- Practice address
- 466 Old Rte 17
Livingston Manor, NY 12758-1147 - Phone
- (845) 439-4471
- Fax
- (845) 439-4471
- NPI assigned
- Dec 3, 2010
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002488-1 | NY | Primary |
Addresses
Primary practice location
466 Old Rte 17
Livingston Manor, NY 12758-1147
Mailing address
PO Box 1147
Livingston Manor, NY 12758-1147
Phone (845) 439-4471
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 |
|---|---|---|---|
| 002488-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1477855963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1147",
"city": "LIVINGSTON MANOR",
"state": "NY",
"postal_code": "127581147",
"telephone_number": "845-439-4471",
"fax_number": "845-439-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 OLD RTE 17",
"city": "LIVINGSTON MANOR",
"state": "NY",
"postal_code": "127581147",
"telephone_number": "845-439-4471",
"fax_number": "845-439-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN-KELLY",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "L AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002488-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.