Kristen Kelly Spears, MS, CCC-SLP, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7637 Issued in LA

Practice address

2612 Metairie Rd
Metairie, LA 70001-5426

Phone

(504) 388-6848

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Kelly Spears, Inc.

  • Hearing and Speech Clinic/Center
  • Metairie, LA
  • NPI 1710291786
  NPD Authorized official

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1093044208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015426",
            "telephone_number": "504-388-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015426",
            "telephone_number": "504-388-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "KRISTEN",
        "middle_name": "KELLY",
        "credential": "MS, CCC-SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5820",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-10-7637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350005",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Spangler, LMSW
• Sparrow Medical Supply LLC
• Samaj Nevaeh Spaulding
• Chanel Speaks
• Ayana Spears
• Specialist Physicians LLC
• Specialized Diagnostics LLC
• Specialty Medical Equipment LLC
• Spectrum Neurology Center LLC
• Julia Liljeberg Speeg, PT, DPT

• Behavior Analyst in Metairie, LA
• Providers in Metairie, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.