Kelly Marie Marini, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014471 Issued in PA

Practice address

399 Deauville Dr
Monroeville, PA 15146-2902

Phone

(484) 868-6973

NPI assigned

Jun 5, 2019

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

Electronic endpoints 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

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1104484906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 DEAUVILLE DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462902",
            "telephone_number": "484-868-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 DEAUVILLE DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462902",
            "telephone_number": "484-868-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kellymarini107@gmail.com",
            "affiliation": "N",
            "address_1": "399 Deauville Dr",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zinat N. Maniky, M.D.
• Lauren Manning, PSYD
• Manor Care of Monroeville PA, LLC
• Jeffrey Michael Manway, D.P.M.
• Megan Marczynski
• Amy Marino, M.D.
• Robert Marino, RPH
• Sylvia Marino, RN
• Delaney Markle
• Marlborough Holdings LLC

• Speech-Language Pathologist in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.