MRS. KELLI RENEE HAMBLEN (NPI# 1902160609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902160609 |
| Entity Type | Individual |
| Full Name | MRS. KELLI RENEE HAMBLEN |
| Other Name | MISS KELLI RENEE SUMMERFIELD |
| Credential | CCC-SLP |
| Practice Address |
704 21st Ave N Myrtle Beach SC 29577-7400 |
| Mailing Address |
2184 Brewster Dr Unit 826 Myrtle Beach SC 29577-1752 |
| Practice Telephone | 8434482913 |
| Practice Fax Number | 8436261483 |
| Mailing Telephone | 3045428390 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5078 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
704 21ST AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407321045 | Adam F Law | Behavioral Analyst | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2018-10-10 |
| 1295247708 | Julie Teresa Ployer | Behavioral Analyst | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2017-10-25 |
| 1447760350 | Morgan Davis | Behavioral Analyst | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2017-10-05 |
| 1760907786 | Daniel R Valverde | Behavioral Analyst | 704 21st Ave N, Myrtle Beach, SC 29577-7400 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| 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 |
|---|---|---|---|---|
| 1396399895 | Devin A Kemper | Speech-Language Pathologist | 820 Oxbow Dr, Myrtle Beach, SC 29579-5159 | 2019-08-01 |
| 1528560877 | Parent's Choice Therapy, LLC | Speech-Language Pathologist | 532 Chamberlin Rd, Myrtle Beach, SC 29588-5431 | 2018-03-02 |
| 1437670023 | Andrea R Veneziale | Speech-Language Pathologist | 8703 Highway 17 Byp S # 1, Myrtle Beach, SC 29575-7701 | 2017-07-05 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1811378193 | Kayla M Scott | Speech-Language Pathologist | 1356 Glenns Bay Rd, 208-g, Myrtle Beach, SC 29575-4743 | 2015-06-12 |
| 1316375298 | Miriam Michelle Peacock Beaber | Speech-Language Pathologist | 4810 Brookside Ln, Myrtle Beach, SC 29579-3197 | 2013-10-31 |
| 1083041347 | Cynthia Marie Funston | Speech-Language Pathologist | 950 International Dr, Myrtle Beach, SC 29579-3488 | 2013-10-02 |
| 1437595071 | William Byron Jones | Speech-Language Pathologist | 714 Bonnie Dr, Myrtle Beach, SC 29588-6001 | 2013-05-21 |
| 1710245436 | Judy Ann Mewhorter | Speech-Language Pathologist | 1191 Brighton Ave, Myrtle Beach, SC 29588-5408 | 2012-05-01 |
| 1942501994 | Sheila Alice Hensley | Speech-Language Pathologist | 1751 Dick Pond Rd, Myrtle Beach, SC 29575-5508 | 2010-11-08 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on MRS. KELLI RENEE HAMBLEN.
| 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.