Tawnya Mishelle Kelly, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA61174893 Issued in WA

Practice address

320 W Willow St
Walla Walla, WA 99362-2922

Phone

(509) 525-3720

Fax

(509) 524-1813

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By the provider in NPPES

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

Other identifiers 1

Other names 1

• Tawnya M Winters Former name

Electronic endpoints 1

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1629732466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W TIETAN ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624498",
            "telephone_number": "509-525-3720",
            "fax_number": "509-522-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WILLOW ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622922",
            "telephone_number": "509-525-3720",
            "fax_number": "509-524-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TAWNYA",
        "middle_name": "MISHELLE",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA61174893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALLA WALLA CLINIC NPI",
            "identifier": "1780658419",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@wallawallaclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 W Tietan St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993624498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAWNYA",
            "last_name": "WINTERS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David D Kellogg, DDS
• Don R. Kellogg, DDS
• Julie M Kellogg, DDS
• Kelly J Krizan (Crusader Diagnostic Imaging)
• Lindsey Marie Kelly, PHYSICAL THERAPIST
• Lynn Kemper
• Kenneth H Z Isaacs PS
• Nicole Ann Kenny, MA, CCC-A
• Nora Keough, COTA/L
• Shayla Kern, BSW

• Hearing Instrument Specialist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Hearing Instrument Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.