Individual provider Active NPI

Kelsey Elizabeth Swanson Salley, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Midlothian, VA
National Provider Identifier
1629008693
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101239008 Issued in VA
Practice address
2384 Colony Crossing Place
Midlothian, VA 23112
Phone
(804) 423-3636
Fax
(804) 423-3637
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101239008 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101239008 VA Primary

Addresses

Primary practice location

2384 Colony Crossing Place
Midlothian, VA 23112

Mailing address

2384 Colony Crossing Place
Midlothian, VA 23112
Phone (804) 423-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000252 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 9032119839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101239008VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Endocrinology and Osteoporosis Center CurrentSince Aug 1, 2009 Accepting new patients
Health Brigade Internal Medicine Past Accepting new patients

Locations

2384 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 423-3636

3460 Mayland Ct
Ste 100
Richmond, VA 23233
Phone (804) 346-3077

Interoperability endpoints

  • Direct secure messaging: kelsey.salley.1@27370.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1629008693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 COLONY CROSSING PLACE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-423-3636",
            "fax_number": "804-423-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 COLONY CROSSING PLACE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-423-3636",
            "fax_number": "804-423-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH SWANSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239008",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101239008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.