Kimberly Beth Dellis, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01097630 Issued in NY

Practice address

515 Maple Ave
Saratoga Springs, NY 12866-5504

Phone

(518) 587-4551

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1124399894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MC CREY DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206000",
            "telephone_number": "518-879-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665504",
            "telephone_number": "518-587-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLIS",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "01097630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Paul Deel, IDC
• Christine Marie Deitz
• Joanna Amelia Dejesus, PA-C
• Thomas C Delancey
• Willa Delliere, M.D
• John Delmonte Jr., MD
• Victoria Lauren Deluca
• Kylee Baker Delvaux, LCSW
• Deanna Demarco
• Julie Demaree, PA

• Speech-Language Pathologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.