Individual provider Active NPI

Cynthia M M Kelley

  • Interpreter
  • Shelton, WA
National Provider Identifier
1609571702
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
5674 Issued in WA
Practice address
440 E Saint Andrews Dr
Shelton, WA 98584-9666
Phone
(619) 245-7668
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X 5674 WA Primary

Addresses

Primary practice location

440 E Saint Andrews Dr
Shelton, WA 98584-9666

Mailing address

440 E Saint Andrews Dr
Shelton, WA 98584-9666
Phone (619) 245-7668

Other names 1

  • Cynthia M Kelley Professional name

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
5674WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1609571702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAINT ANDREWS DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849666",
            "telephone_number": "619-245-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SAINT ANDREWS DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849666",
            "telephone_number": "619-245-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "M KELLEY",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KELLEY",
            "middle_name": "M",
            "credential": "CERT.MEDICAL INTER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.