Active NPI
Kirsten Remely
- Speech-Language Pathologist
- Bethlehem, PA
National Provider Identifier
1124490131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013350
- Practice address
- 336 W Spruce St
Bethlehem, PA 18018-3739 - Phone
- (610) 317-8000
- NPI assigned
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL013350 | PA | Primary |
Addresses
Primary practice location
336 W Spruce St
Bethlehem, PA 18018-3739
Mailing address
4201 William Penn Hwy
Easton, PA 18045-5071
Phone (484) 515-6212
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL013350 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackbird Clinical Services PC | Past | Accepting new patients | |
| Via of the Lehigh Valley, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Children'S Integrated Center for Success | Past | Accepting new patients |
Organizations & group practices 3
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.
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Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1124490131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 WILLIAM PENN HWY",
"city": "EASTON",
"state": "PA",
"postal_code": "180455071",
"telephone_number": "484-515-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W SPRUCE ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180183739",
"telephone_number": "610-317-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMELY",
"first_name": "KIRSTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.