Active NPI
Rosemary Helena Kelly, M.D.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1821182221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M00038441
- Practice address
- 2812 E Madison St Ste 3
Seattle, WA 98112-4863 - Phone
- (206) 329-0816
- Fax
- (206) 329-0916
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M00038441 | WA | Primary |
Addresses
Primary practice location
2812 E Madison St Ste 3
Seattle, WA 98112-4863
Mailing address
2812 E Madison St Ste 3
Seattle, WA 98112-4863
Phone (206) 329-0816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M00038441 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1821182221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 E MADISON ST STE 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124863",
"telephone_number": "206-329-0816",
"fax_number": "206-329-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 E MADISON ST STE 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124863",
"telephone_number": "206-329-0816",
"fax_number": "206-329-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ROSEMARY",
"middle_name": "HELENA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "M00038441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.