Kellie L Bauer, M.ED.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006674 Issued in GA

Practice address

593 Aderhold Hall
University of Georgia Speech and Hearing Clinic
Athens, GA 30602

Phone

(706) 542-4598

NPI assigned

Oct 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Board of Regents of the University System of Georgia

  • Audiologist
  • Athens, GA
  • NPI 1376640557

  Speech-Language Pathologist

  NPD (past)
• Uga Speech and Hearing

  • Audiologist
  • Athens, GA
  • NPI 1992881841
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1104013150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 ADERHOLD HALL",
            "address_2": "UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30602",
            "telephone_number": "706-542-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ADERHOLD HALL",
            "address_2": "UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30602",
            "telephone_number": "706-542-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KELLIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan Basnet, M.D.
• Ansley Batchelor, M.ED., BCBA
• Caroline B Batson, CSFA
• Aubrey McCoy Baucom
• Jordan Bauer, M.D.
• Melissa Bienacker Baughcum, APRN
• Haley Bauguss, PA-C
• Emma Baum
• Fatima Aspiras Bawayan, PT
• Julie Baxter, CST, CSFA

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.