Active NPI
Heather Jeanette Kelley, LMT
- Specialist
- Seattle, WA
National Provider Identifier
1598959330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 6020 3Rd Ave NW
Seattle, WA 98107-2104 - Phone
- (206) 300-2421
- NPI assigned
- Sep 5, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | WA | Primary |
Addresses
Primary practice location
6020 3Rd Ave NW
Seattle, WA 98107-2104
Mailing address
PO Box 371
Belfair, WA 98528-0371
Phone (206) 300-2421
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 |
|---|---|---|---|
| 602260831 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1598959330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985280371",
"telephone_number": "206-300-2421",
"fax_number": "425-424-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 3RD AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981072104",
"telephone_number": "206-300-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "HEATHER",
"middle_name": "JEANETTE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.