Individual provider Active NPI

Torrinal Kelly

  • Driver
  • Humble, TX
National Provider Identifier
1538575899
Registry record updated Aug 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
052210614 Issued in CO
Practice address
7850 FM 1960 Rd E
Apt 704
Humble, TX 77346-2278
Phone
(303) 261-6682
Fax
(281) 973-9611
NPI assigned
Jul 8, 2014
Last updated
Aug 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 052210614 CO Primary

Addresses

Primary practice location

7850 FM 1960 Rd E
Apt 704
Humble, TX 77346-2278

Mailing address

7850 FM 1960 Rd E
Apt 704
Humble, TX 77346-2278
Phone (303) 261-6682

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

LicenseStateTypeSpecialty
052210614COMDDriver

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1538575899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 FM 1960 RD E",
            "address_2": "APT 704",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462278",
            "telephone_number": "303-261-6682",
            "fax_number": "281-973-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 FM 1960 RD E",
            "address_2": "APT 704",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462278",
            "telephone_number": "303-261-6682",
            "fax_number": "281-973-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TORRINAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "052210614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; 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.