Individual provider Active NPI

Katelyn Kelley, DVM

  • Specialist
  • Warrensville Heights, OH
National Provider Identifier
1801349840
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
VET 11055 Issued in OH
Practice address
4760 Richmond Rd
Warrensville Heights
Warrensville Heights, OH 44128-5978
Phone
(216) 831-6789
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

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
VET 11055OHMDSpecialist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X VET 11055 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4760 Richmond Rd
Warrensville Heights
Warrensville Heights, OH 44128-5978

Mailing address

4760 Richmond Rd
Warrensville Heights
Warrensville Heights, OH 44128-5978
Phone (216) 831-6789

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2016.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1801349840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD",
            "address_2": "WARRENSVILLE HEIGHTS",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285978",
            "telephone_number": "216-831-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD",
            "address_2": "WARRENSVILLE HEIGHTS",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285978",
            "telephone_number": "216-831-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "VET 11055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.