Individual provider Active NPI

Kelly Harlow, MA CCCS

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1124189907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0806 Issued in WV
Practice address
#1 John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675
Phone
(304) 696-3641
Fax
(304) 696-2986
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP0806 WV Primary

Addresses

Primary practice location

#1 John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675

Mailing address

#1 John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675
Phone (304) 696-3641

Other identifiers 1

IdentifierTypeStateIssuer
7402241000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SLP0806WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124189907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1 JOHN MARSHALL DRIVE",
            "address_2": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 JOHN MARSHALL DRIVE",
            "address_2": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "KELLY",
        "credential": "MA CCCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402241000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.