Kelsey Rose Krumholz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18213 Issued in FL

Practice address

26 Carnation Ave
Central Islip, NY 11722-2605

Phone

(561) 319-2905

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Rose Krumholz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1053984575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CARNATION AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222605",
            "telephone_number": "561-319-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CARNATION AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222605",
            "telephone_number": "561-319-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMHOLZ",
        "first_name": "KELSEY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KRUMHOLZ",
            "middle_name": "ROSE",
            "credential": "MS, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayla Rachelle Knotts, LMSW
• Erik Thomas Knudsen, DC
• Janine Koehler, RN
• Kenneth John Kopczynski Jr.
• Gregory Paul Krumholz, D.C.
• Maria Kurth
• Claudette Marx Lacast, LPN
• Marge Lacoste-Langston
• Roxane Lacy, M.D.
• John David Lance, LMT

• Speech-Language Pathologist in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.