Active NPI
Siobhan Kelley, MT-BC
- Music Therapist
- Rochester, MN
National Provider Identifier
1841762440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13855
- Practice address
- 3270 19TH St NW Ste 101
Rochester, MN 55901-2949 - Phone
- (507) 236-7793
- NPI assigned
- Dec 19, 2018
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 13855 | Primary |
Addresses
Primary practice location
3270 19TH St NW Ste 101
Rochester, MN 55901-2949
Mailing address
2804 2ND St SW Apt 125
Rochester, MN 55902-4118
Phone (214) 549-4516
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1841762440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 2ND ST SW APT 125",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559024118",
"telephone_number": "214-549-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 19TH ST NW STE 101",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012949",
"telephone_number": "507-236-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SIOBHAN",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "13855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.