Jill Marie Kelley

Primary specialty

SpecialistTaxonomy code 174400000X

License

ES39677 Issued in ME

Practice address

81 Bridge St
Yarmouth, ME 04096-6744

Phone

(207) 846-9696

NPI assigned

Feb 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.Kelley Salon

  • Prosthetic/Orthotic Supplier
  • Yarmouth, ME
  • NPI 1578702833
  NPD (past) Authorized official

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234051200000",
    "number": "1609015114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ALLEN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033714",
            "telephone_number": "207-233-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BRIDGE ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966744",
            "telephone_number": "207-846-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-08",
        "last_updated": "2009-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "ES39677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassie Sue Joler
• Jonathan Hopps LCSW, LLC
• Joanna Kass, PMHNP-BC
• Daniel Edward Katz, PT, LAC
• Nancy Keegan, RN
• Victoria P. Kendrick, LCSW
• Susan A. Kepes, PA-C
• Kathleen M Kerr, LPC-C
• Howard R Kessler, PH.D.
• Kimberly a. Egberts & Assoc.

• Specialist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2009; 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.