Active NPI
Kelly Christine Macleod
- Speech-Language Pathologist
- San Clemente, CA
National Provider Identifier
1003702085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20422
- Practice address
- 1000 Calle Amanecer
San Clemente, CA 92673-6214 - Phone
- (949) 498-5700
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 20422 | CA | Primary |
Addresses
Primary practice location
1000 Calle Amanecer
San Clemente, CA 92673-6214
Mailing address
12 Ridgerock
Laguna Niguel, CA 92677-5901
Phone (949) 433-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1003702085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RIDGEROCK",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775901",
"telephone_number": "949-433-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-498-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "20422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.