Individual provider Active NPI

Kristi Leigh Kelly, M.S., C.C.C, SLP

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1114164845
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0000716 Issued in CO
Practice address
1136 E Stuart St Ste 3120
Fort Collins, CO 80525
Phone
(970) 682-3743
NPI assigned
Jan 16, 2009
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0000716 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 3120
Fort Collins, CO 80525

Mailing address

1136 E Stuart St
Ste 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120606000354 CO Practitioner - Qualified Speech Language Pathologist 1153585021 Reassigns benefits to 1 organization
I20200215000136 HI Practitioner - Qualified Speech Language Pathologist 1153585021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 E Stuart St
Suite 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743

1175 58TH Ave
Suite 101
Greeley, CO 80634-4808
Phone (970) 682-3743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0000716COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Speech Therapy, LLC Speech-Language Pathologist CurrentSince Nov 24, 2025 Accepting new patients
Aspen Speech Therapy and Rehabilitation LLC Speech-Language Pathologist CurrentSince Mar 26, 2012 Accepting new patients

Locations

1136 E Stuart St
Ste 3120
Fort Collins, CO 80525
Phone (970) 682-3743

1200 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 416-6286

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1114164845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-682-3743",
            "fax_number": "970-460-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-682-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S., C.C.C, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.