SHANA KELLY


Address: 25250 N 35th Ave, Phoenix, AZ 85083-4335
Phone: 6234457100

SHANA KELLY (NPI# 1144877994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144877994
Entity Type Individual
Full Name SHANA KELLY
Practice Address 25250 N 35th Ave
Phoenix
AZ 85083-4335
Mailing Address 20402 N 15th Ave
Phoenix
AZ 85027-3699
Practice Telephone 6234457100
Enumeration Date 2019-08-26
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist TSLP12051 AZ Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4035 W Alameda Rd, Glendale, AZ 853103304 6234454700

Other Providers SHANA KELLY

NPI Name Taxonomy Address Enumeration
1093168874 Shana Kelly Case Manager/Care Coordinator 601 W 26th St Rm 522, New York, NY 10001-1137 2016-07-18
1235277997 Shana L Kelly Speech-Language Pathologist 4115 University Way Ne, Ste 202, Seattle, WA 98105-6257 2007-02-02

Office Location

Street Address 25250 N 35TH AVE
City PHOENIX
State AZ
Zip Code 85083-4335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104435320 Lindsey Woods Speech-Language Pathologist 25250 N 35th Ave, Phoenix, AZ 85083-4335 2020-07-23
1437792884 Janice Lee Mackie Registered Nurse 25250 N 35th Ave, Phoenix, AZ 85083-4335 2019-10-17
1770142788 Courtney Woodward Specialist/Technologist 25250 N 35th Ave, Phoenix, AZ 85083-4335 2019-06-12
1417435835 Jonica Heather Clarke Registered Nurse 25250 N 35th Ave, Phoenix, AZ 85083-4335 2018-07-30
1053857474 Melissa Portela Health Educator 25250 N 35th Ave, Phoenix, AZ 85083-4335 2017-01-09
1003067919 Marcia C Diederich Psychologist 25250 N 35th Ave, Phoenix, AZ 85083-4335 2008-10-09
1659548246 Catherine J Danzinger Registered Nurse 25250 N 35th Ave, Phoenix, AZ 85083-4335 2008-05-13
1407036411 Christopher Harmonson Counselor 25250 N 35th Ave, Phoenix, AZ 85083-4335 2007-11-07
1376723403 Debbie Harmonson Counselor 25250 N 35th Ave, Phoenix, AZ 85083-4335 2007-11-06
1013197144 Cressa Elaine Jeter Counselor 25250 N 35th Ave, Phoenix, AZ 85083-4335 2007-11-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275042657 Prestige Group Homes Assisted Living Facility 28001 N 31st Ave, Phoenix, AZ 85083 2017-09-28
1467702068 Chirag Javia Pharmacist 5029 W. Buckskin Trail, Phoenix, AZ 85083 2012-09-12
1568944049 Nicholas Ryan Wieferich Pharmacist 5450 W Happy Valley Rd, Phoenix, AZ 85083 2018-08-31
1992258743 Andrew Jon Cefalo Dentist 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 2016-07-28
1538643242 Nel's Nest Assisted Living, LLC Assisted Living Facility 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 2018-09-18
1508211673 Mansi Dave Internal Medicine 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 2016-04-26
1043797905 Kara A Fishgold Nurse Practitioner 6325 W Briles Rd, Phoenix, AZ 85083-1003 2018-07-24
1053455634 Melanie O'rourke Speech Services, LLC Speech-Language Pathologist 6350 W Lariat Ln, Phoenix, AZ 85083-1004 2007-02-16
1538437538 Melanie O'rourke Speech-Language Pathologist 6350 W Lariat Ln, Phoenix, AZ 85083-1004 2011-12-05
1508280496 Stephen Wayne Champion Registered Nurse 25830 N 64th Ave, Phoenix, AZ 85083-1014 2014-02-12
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235748369 Nicole Fountain Speech-Language Pathologist 25700 N. 21st Avenue, Phoenix, AZ 85085 2020-07-24
1972137750 Inspired Therapy LLC Speech-Language Pathologist 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 2020-03-02
1083262331 Josey Simon Speech-Language Pathologist 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 2019-08-29
1932768892 Brianna Buckner Speech-Language Pathologist 6901 W Sheila Ln, Phoenix, AZ 85033-4452 2019-06-13
1689172942 Ashley Elizabeth Kinkel Speech-Language Pathologist 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 2018-01-31
1659882702 Pamela Mae Pyle Speech-Language Pathologist 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 2017-10-17
1477062495 Kellie Kathleen Voss Speech-Language Pathologist 4505 E Palm Ln, Phoenix, AZ 85008-4123 2017-09-21
1679090823 Margaret Easton Speech-Language Pathologist 7022 N 2nd St, Phoenix, AZ 85020-4809 2017-08-28
1457876013 Paris Hasl Speech-Language Pathologist 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 2017-08-04
1609390236 Justin Segura Speech-Language Pathologist 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 2017-07-26
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85083

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Dataset Information

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.

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