Ingrid Kelly, OTR

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OC012789 Issued in PA

Practice address

1300 W 3Rd St
Anaconda, MT 59711-1804

Phone

(406) 240-8738

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1932549565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111804",
            "telephone_number": "406-240-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111804",
            "telephone_number": "406-240-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "INGRID",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NV",
            "license": "120196",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "OC012789",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "1047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertrand Francis Jones, M.D.
• Chloe Jones
• Karan Ann Jones, R.N.
• Deborah Kalarchik, FNP-BC
• Robert John Kelley
• David M Kidder, DO
• Lindsey King, PSY.D.
• Craig Kolpin
• Kandace Konola
• Lisa Rose Krzan, PHARMD

• Skilled Nursing Facility in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.