Active NPI
Satianna Jabrie Kelly
- Transportation Broker
- Akron, OH
National Provider Identifier
1982367124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 29 Brighton Dr
Akron, OH 44301-1601 - Phone
- (330) 620-0878
- NPI assigned
- Oct 14, 2021
- 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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
29 Brighton Dr
Akron, OH 44301-1601
Mailing address
29 Brighton Dr
Akron, OH 44301-1601
Phone (330) 620-0878
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": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1982367124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BRIGHTON DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443011601",
"telephone_number": "330-620-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BRIGHTON DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443011601",
"telephone_number": "330-620-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SATIANNA",
"middle_name": "JABRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-18",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.