Individual provider Active NPI

Kelley Brooke McDaneld, L.AC., DIPL.OM, B.S.

  • Acupuncturist
  • Steamboat Springs, CO
National Provider Identifier
1821136680
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1139 Issued in CO
Practice address
57 10TH Street
Suite 1a
Steamboat Springs, CO 80487
Phone
(970) 819-6738
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1139 CO Primary

Addresses

Primary practice location

57 10TH Street
Suite 1a
Steamboat Springs, CO 80487

Mailing address

40460 Harbor PL
Steamboat Springs, CO 80487-8422
Phone (970) 819-6738

Other identifiers 1

IdentifierTypeStateIssuer
80449OtherCOSLOANS LAKE PROVIDER ID #

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1139COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Acupuncture & Chinese Herbs, LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1821136680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40460 HARBOR PL",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878422",
            "telephone_number": "970-819-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 10TH STREET",
            "address_2": "SUITE 1A",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-819-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANELD",
        "first_name": "KELLEY",
        "middle_name": "BROOKE",
        "credential": "L.AC., DIPL.OM, B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLOANS LAKE PROVIDER ID #",
            "identifier": "80449",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.