KELLY BROOKS (NPI# 1013496850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013496850 |
| Entity Type | Individual |
| Full Name | KELLY BROOKS |
| Practice Address |
12110 Clayton Rd Saint Louis MO 63131-2516 |
| Mailing Address |
506 Charoak Dr Ballwin MO 63021-6218 |
| Practice Telephone | 3149898100 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2018016959 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114360484 | Kelly A Brooks | Nutritionist | 2530 Whirlwind St, Corpus Christi, TX 78414-5010 | 2013-04-16 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1083816300 | Kelly Annette Brooks | Counselor | 1224 Pennsylvania St Ne, Albuquerque, NM 87110-7410 | 2007-05-31 |
| 1215073960 | Kelly Dugger Brooks | Social Worker | 4480 Corbin Ct, Tallahassee, FL 32309-2286 | 2007-01-29 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| 1235750167 | Kelly Brooks | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-05-01 |
| 1407327059 | Kelly Michelle Brooks | Social Worker | 317 N 2nd St, Temple, TX 76501-3216 | 2018-12-07 |
| 1336668540 | Kelly Brooks | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-19 |
| 1881056414 | Kelly Meghan Brooks | Family Medicine | 28 Centre Dr, Milton, VT 05468-3104 | 2016-03-23 |
| 1750717138 | Kelly Robinson Brooks | Registered Nurse | 2141 K St Nw, Suite 3, Washington, DC 20037-1810 | 2013-09-18 |
| Street Address |
12110 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990662 | Annette Margaret Trantanella | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2005-11-28 |
| 1144828617 | Rachel St. Louis | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-10-15 |
| 1932706959 | Carly Ann James | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-10-02 |
| 1508463753 | Morgan Trachsel | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-10-01 |
| 1922605195 | Elizabeth James | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-10-01 |
| 1194331504 | Alison Brooke Theobald | Social Worker | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-09-21 |
| 1144835257 | Jennifer Elizabeth Rozier | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-09-15 |
| 1730794157 | Lauren Marie Merlo | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2599 | 2020-09-11 |
| 1629683016 | Laura Grace Gibbons | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-09-11 |
| 1376157610 | Thelmajean Lucille Guiffrida | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1831706290 | Kaley Horst | Speech-Language Pathologist | 318 Barron Ln, Saint Louis, MO 63119-1520 | 2020-09-29 |
| 1386250553 | Karla Kay Mckeirnan | Speech-Language Pathologist | 2 Nazareth Ln, Saint Louis, MO 63129-7600 | 2020-09-22 |
| 1013522374 | Mia Elmore | Speech-Language Pathologist | 4554 Laclede Ave Apt 308, Saint Louis, MO 63108-2147 | 2020-09-14 |
| 1124644729 | Logan Patricia Abbott | Speech-Language Pathologist | 1630 Ross Ave, Saint Louis, MO 63146-3817 | 2020-06-19 |
| 1922629807 | Catherine Renee Bean | Speech-Language Pathologist | 5554 Waterman Blvd Apt 2e, Saint Louis, MO 63112-1836 | 2020-05-01 |
| 1932749447 | Ian Farmer | Speech-Language Pathologist | 1220 N 10th St, Saint Louis, MO 63106-4636 | 2020-01-13 |
| 1508402249 | Valerie Jeanne Reid | Speech-Language Pathologist | 5247 Bancroft Ave Apt 2e, Saint Louis, MO 63109-2320 | 2019-11-18 |
| 1942851233 | The Speech Station | Speech-Language Pathologist | 140 Prospect Ave Ste P, Saint Louis, MO 63122-6024 | 2019-09-27 |
| 1205480407 | Emily Terbrock | Speech-Language Pathologist | 5329 Columbia Ave, Saint Louis, MO 63139-1443 | 2019-07-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on KELLY BROOKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.