Individual provider Active NPI

Adriana Kelly, SLPA

  • Speech-Language Assistant
  • Lexington, SC
National Provider Identifier
1134616162
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
5093 Issued in SC
Practice address
714 S Lake Dr Ste 151
Lexington, SC 29072-3462
Phone
(803) 356-4782
Fax
(803) 996-4782
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 5093 SC Primary

Addresses

Primary practice location

714 S Lake Dr Ste 151
Lexington, SC 29072-3462

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

Other practice location 1

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

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

LicenseStateTypeSpecialty
5093SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC PastSince Dec 9, 2019 Accepting new patients
Pediatric Therapy of Aiken, LLC PastSince Dec 13, 2022 Accepting new patients

Organizations & group practices 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1134616162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S LAKE DR STE 151",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723462",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Town Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035841",
            "country_code": "US",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ADRIANA",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "SC",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.