Individual provider Active NPI

Kendall Elizabeth Semonelli

  • Developmental Therapist
  • West Roxbury, MA
National Provider Identifier
1871899427
Registry record updated Jan 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
25 Willow St
West Roxbury, MA 02132-1537
Phone
(617) 469-3080
NPI assigned
Jan 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

25 Willow St
West Roxbury, MA 02132-1537

Mailing address

25 Willow St
West Roxbury, MA 02132-1537
Phone (617) 469-3080

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296345600000",
    "number": "1871899427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLOW ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321537",
            "telephone_number": "617-469-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOW ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321537",
            "telephone_number": "617-469-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMONELLI",
        "first_name": "KENDALL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; 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.