Aspen Speech Therapy and Rehabilitation LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ASPEN SPEECH THERAPY AND REHABILITATION LLC

Practice address

101 Kanani Rd
Kihei, HI 96753-6805

Phone

(970) 682-3743

NPI assigned

Aug 21, 2019

Organization subpart

Yes

Parent organization

ASPEN SPEECH THERAPY AND REHABILITATION LLCAs reported in NPPES

Name

Kristi Leigh Kelly, M.S., CCC/SLP

Title

Speech Pathologist

Phone

(970) 682-3743

Part of

Aspen Speech Thpy and Rehab

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2019.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1104473461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-682-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KANANI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536805",
            "telephone_number": "970-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "970-682-3743",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christenia Bacon, PSYD, LCSW

• All providers in Kihei, HI
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.