Lisa Leigh Kelley, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004584-1 Issued in NY

Practice address

1 Union SQ W Ste 715
New York, NY 10003-3303

Phone

(206) 406-0007

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1619245792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PARK PL APT 3P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384351",
            "telephone_number": "206-406-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION SQ W STE 715",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033303",
            "telephone_number": "206-406-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LISA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Kelley, LMSW
• Jane Elizabeth Kelley, M.S., SLP
• Katherine Kelley
• Kathleen Kelley, LMFT
• Kathryn Kelley, OTR/L
• Mary Grace Kelley, LMSW
• Meghan R Kelley, LCSW-R
• Murray Owen Kelley, LCSW, MS(ED)
• Virginia Kelley, PH.D.
• Emma Kelliher, MB BCH BAO MSC MRCPI

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.