Individual provider Active NPI

Kylee Michelle Meadows

  • Speech-Language Pathologist
  • Morgantown, WV
National Provider Identifier
1063092088
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2284 Issued in WV
Practice address
6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Phone
(304) 599-9250
Fax
(304) 599-7800
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2284 WV Primary

Addresses

Primary practice location

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748

Mailing address

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Phone (304) 599-1500

Other names 1

  • Kylee Jolliff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720002586 WV Practitioner - Qualified Speech Language Pathologist 2668853722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2284WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services, LLC Speech-Language Pathologist CurrentSince Apr 22, 2022 Accepting new patients
Cornerstone Pediatric Therapy Center, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

6000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1063092088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-9250",
            "fax_number": "304-599-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "KYLEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "JOLLIFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.