Kellie Lozano, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12-033 Issued in KY

Practice address

350 Henry Clay Blvd
Lexington, KY 40502-1024

Phone

(859) 268-4545

Fax

(859) 269-1857

NPI assigned

May 16, 2013

Last updated

Oct 17, 2014By the provider in NPPES

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

• Kellie Bishop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1083050082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021024",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "KELLIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "12-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "BISHOP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Lowrey III, M.D., M.P.H.
• Elizabeth Lowrey, APRN
• Conor M Lowry, M.D.
• Kimberly Ann Lowry, APRN
• Robert E. Loy, D.M.D
• Richard Lozano, M.D.
• LP Lexington LLC (Mayfair Manor)
• LP Lexington Pimlico, LLC (Bluegrass Care and Rehabilitation Center)
• LP Lexington Tanbark Road, LLC (Singature Healthcare at Tanbark Rehab & Wellness Center)
• LRR Dre PLLC

• Speech-Language Pathologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.