MRS. KELLY ANN FAGAN (NPI# 1659516623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516623 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN FAGAN |
| Credential | CCC-SLP |
| Practice Address |
2352 County Route 41 Greenville NY 12083-4626 |
| Practice Telephone | 5189665447 |
| Practice Fax Number | 5189665447 |
| Mailing Telephone | 5189665447 |
| Mailing Fax Number | 5189665447 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 008897 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285192393 | Kelly Fagan | Physician Assistant | 506 6th St, Brooklyn, NY 11215-3609 | 2019-03-07 |
| 1508928920 | Kelly Anne Fagan | Nurse Practitioner | 90 Asheland Ave, Asheville, NC 28801-4021 | 2006-12-14 |
| Street Address |
2352 COUNTY ROUTE 41 |
| City | GREENVILLE |
| State | NY |
| Zip Code | 12083-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| 1386005387 | Debbie Huston | Occupational Therapy Assistant | 442 Route 38, Greenville, NY 12083 | 2016-03-18 |
| 1982975017 | Lorri Ann Gardner | Occupational Therapy Assistant | 5600 Sr 81, Greenville, NY 12083 | 2012-01-20 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1265740484 | Jack Prayto | Physical Therapy Assistant | 442 Rte 38, Greenville, NY 12083 | 2010-09-22 |
| 1114195971 | Todd Mehlman | Dentist | 44 Bryant's Country Square, Greenville, NY 12083 | 2008-02-14 |
| 1073790762 | Ciani & Morris Physical Therapy | Specialist | Rr 1 Rte 32 South, Greenville, NY 12083 | 2008-01-25 |
| 1831319458 | Gloria Fuina Darrah Rpa | Internal Medicine | 20 Bryant's Country Square, Greenville, NY 12083 | 2007-04-26 |
| 1427276336 | Deborah Winne | Physical Therapy Assistant | Rr1 Rte 32 So, Greenville, NY 12083 | 2007-04-23 |
| 1174679302 | Julio Antonio Sosa | Internal Medicine | 20 Bryants Country Square, Greenville, NY 12083 | 2007-01-29 |
| Find all providers in zip 12083 | ||||
| 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 |
|---|---|---|---|---|
| 1780299552 | Mary Atchison | Speech-Language Pathologist | 127 Walnut Street, Greenville, MO 63944 | 2020-09-09 |
| 1467063321 | Alexia Walton | Speech-Language Pathologist | 359 Loop St, Greenville, SC 29609-4579 | 2020-08-13 |
| 1134737331 | Small Talk Pediatric Speech Therapy, LLC | Speech-Language Pathologist | 138 Sunset Dr, Greenville, SC 29605-1913 | 2020-07-14 |
| 1609493154 | Mikayla Michael | Speech-Language Pathologist | 10 Jimmy Doolittle Drive Ste B, Greenville, SC 29607-2622 | 2020-07-01 |
| 1063044824 | Terri Elbaum | Speech-Language Pathologist | 22 Guyencourt Rd, Greenville, DE 19807-1416 | 2020-02-10 |
| 1679112718 | Monique Gadsby | Speech-Language Pathologist | 7208 Three Springs Trl, Greenville, SC 29615-6752 | 2020-01-06 |
| 1467097857 | The Speech Group, LLC | Speech-Language Pathologist | 35 W Tallulah Dr, Greenville, SC 29605-1843 | 2019-11-09 |
| 1225670144 | Lynn Garton Hooker | Speech-Language Pathologist | 1605 E Reed Rd, Greenville, MS 38703-7230 | 2019-10-11 |
| 1588218762 | Addison Wyndham Lee | Speech-Language Pathologist | 117 Chipwood Ln, Greenville, SC 29615-1256 | 2019-07-26 |
| 1952954083 | Kidz Speech & Beyond, Pllc | Speech-Language Pathologist | 4004 Jared Ct, Greenville, NC 27858-8340 | 2019-07-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 12083 |
Please comment or provide details below to improve the information on MRS. KELLY ANN FAGAN.
| 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.