KIM C KELLY (NPI# 1689950800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689950800 |
| Entity Type | Individual |
| Full Name | KIM C KELLY |
| Credential | SLP |
| Practice Address |
678 Cantiague Rock Rd Jericho NY 11753-1401 |
| Mailing Address |
20 Dale Rd Halesite NY 11743-1423 |
| Practice Telephone | 5162033600 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 58007848 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992198584 | Kim Marie Kelly | Behavioral Analyst | 20 Tater St, Mont Vernon, NH 03057-1315 | 2015-03-06 |
| 1851630412 | Kim A Kelly | Counselor | 2528 Oak St, Jacksonville, FL 32204-4504 | 2013-02-01 |
| 1538302799 | Kim Darrell Kelly | Naturopath | 1363 Burgundy Rd, Encinitas, CA 92024-1847 | 2009-04-16 |
| 1740380633 | Kim Erin Kelly | Counselor | 333 S Juniper St, #115, Escondido, CA 92025-4924 | 2006-09-22 |
| 1578585501 | Kim Michelle Kelly | Family Medicine | 12710 Se Division Street, Portland, OR 97236 | 2006-07-25 |
| 1790119857 | Kim Marie Kelly | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353-8001 | 2013-08-26 |
| 1730457193 | Kim J Kelly | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2011-12-13 |
| 1457453326 | Kim H Kelly | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-02 |
| Street Address |
678 CANTIAGUE ROCK RD |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013287028 | Lois M. Burn | Speech-Language Pathologist | 678 Cantiague Rock Rd, Jericho, NY 11753-1401 | 2012-01-06 |
| 1346517042 | Beth Lynn Weissman | Case Manager/Care Coordinator | 678 Cantiague Rock Rd, Jericho, NY 11753-1401 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| Find all providers in zip 11753 | ||||
| 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 |
|---|---|---|---|---|
| 1578021184 | Janelle Moynihan | Speech-Language Pathologist | 30 Lawrence Hts, Jericho, VT 05465-3079 | 2019-03-04 |
| 1700369196 | Wendy Chaffee | Speech-Language Pathologist | 211 Browns Trace Rd, Jericho, VT 05465-9700 | 2018-09-11 |
| 1326420175 | Taryn Levenstein | Speech-Language Pathologist | 19 Briar Ln, Jericho, NY 11753-2211 | 2015-06-28 |
| 1053733113 | Steffani Lynn Wilson | Speech-Language Pathologist | 9 Pinehurst Dr, Jericho, VT 05465-6500 | 2014-01-09 |
| 1124461165 | Natalya Geier | Speech-Language Pathologist | 180 Robbins Ln, Jericho, NY 11753-1835 | 2013-04-09 |
| 1306185434 | Sonia Rita Chowdhury | Speech-Language Pathologist | 33 Mellow Ln, Jericho, NY 11753-2244 | 2013-02-08 |
| 1568714228 | Adene Robin Caspi | Speech-Language Pathologist | 14 Ivy Dr, Jericho, NY 11753-1813 | 2012-10-04 |
| 1700135597 | Jillian Toline | Speech-Language Pathologist | 14 Otsego Pl, Jericho, NY 11753-1406 | 2012-09-07 |
| 1083972657 | Julie M Rosenberg Mass | Speech-Language Pathologist | 69 Orange Dr, Jericho, NY 11753-1529 | 2012-05-02 |
| 1295004166 | Kathleen Molinski | Speech-Language Pathologist | 137 Leahy St, Jericho, NY 11753-1667 | 2011-12-22 |
| Find all providers in JERICHO | ||||
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| 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.