Active NPI
Kelly Daniels
- Driver
- Rochester, NY
National Provider Identifier
1700539822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 2340 Brighton Henrietta Town Line Rd Ste 13
Rochester, NY 14623-2679 - Phone
- (585) 806-5666
- NPI assigned
- Jan 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | NY | Primary |
Addresses
Primary practice location
2340 Brighton Henrietta Town Line Rd Ste 13
Rochester, NY 14623-2679
Mailing address
PO Box 90885
Rochester, NY 14609-0885
Phone (585) 295-3809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04787793 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@goicontransportation.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icon Transportation LLC | Current | Accepting new patients | |
| Che Senior Psychological Services, PC | Past | Accepting new patients |
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.
-
- Non-emergency Medical Transport (VAN)
- Rochester, NY
- NPI 1760162630
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1700539822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90885",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146090885",
"telephone_number": "585-295-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 BRIGHTON HENRIETTA TOWN LINE RD STE 13",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232679",
"telephone_number": "585-806-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-29",
"last_updated": "2022-01-29",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04787793",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@goicontransportation.com",
"affiliation": "N",
"endpointDescription": "info@goicontransportation.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2340 Brighton Henrietta Town Line Rd Ste 13",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146232679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.