Amelia Seaver Kellam, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14908 Issued in NC

Practice address

135 Stratford LN
Boone, NC 28607-6588

Phone

(828) 406-3870

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Carolina Speech Source, LLC

  • Speech-Language Pathologist
  • Hickory, NC
  • NPI 1881671394
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1104435510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 STRATFORD LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076588",
            "telephone_number": "828-406-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 STRATFORD LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076588",
            "telephone_number": "828-406-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 N Center St",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286011853",
            "country_code": "US",
            "telephone_number": "828-322-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 10th St NW Ste B200",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286132419",
            "country_code": "US",
            "telephone_number": "828-322-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Commerce St SW",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286138355",
            "country_code": "US",
            "telephone_number": "828-322-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2329 E Wt Harris Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135186",
            "country_code": "US",
            "telephone_number": "828-322-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "AMELIA",
        "middle_name": "SEAVER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-08-24",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Catherine Keegan, PHD,CCC-SLP
• Elizabeth Keeter, M.A. CCC-SLP
• Bettie M Keith, RN
• Elizabeth Hernandez Keith, D.M.D.
• Jared N Keith, MD
• Jacob M Keller
• Crystal Joy Kelly, CERTIFIED DOULA
• Ryan Kelly, MD
• Burton Lee Kennedy, M.D.
• Elizabeth Ann Kerley, LCSWA

• Speech-Language Pathologist in Boone, NC
• Providers in Boone, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.