Gennifer Pole Kalies, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019496-01 Issued in NY

Practice address

500 Fairground Rd
West Winfield, NY 13491-2006

Phone

(315) 822-2927

NPI assigned

Jan 4, 2009

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1104062744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "NY",
            "postal_code": "133403622",
            "country_code": "US",
            "telephone_number": "315-717-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIES",
        "first_name": "GENNIFER",
        "middle_name": "POLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019496-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Duciaume Sr., SLP
• Stephen Michael Dudek, D.D.S.
• Crystal Reba Ferguson, FNP-BC
• Connie Lynn Ann Helmer, RN
• Susan J Huxtable, MA, CCC-SLP
• Donald Bruce Knapp, O.D.
• Ruth Ann Kurdziolek, RN
• Stephanie M Land, LPN
• Little Falls Hospital (Little Falls Hospital West Winfield Health Center)
• Lucille Diana McDermott

• Speech-Language Pathologist in West Winfield, NY
• Providers in West Winfield, 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 Oct 30, 2025; 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.