Pleshette Johnson Kelly, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.7629 Issued in SC

Practice address

128 Stoney Point LN
Chapin, SC 29036-8841

Phone

(520) 576-6795

NPI assigned

Jun 14, 2021

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

Other names 1

• Pleshette Shontee Johnson-Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1134797483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 STONEY POINT LN",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368841",
            "telephone_number": "520-576-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 STONEY POINT LN",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368841",
            "telephone_number": "520-576-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PLESHETTE",
        "middle_name": "JOHNSON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.7629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PLESHETTE",
            "last_name": "JOHNSON-KELLY",
            "middle_name": "SHONTEE",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Nicole Jones, FNP-C
• Amy White Joyner, FNP
• Jumpstart Pediatrics LLC
• Amy Louise Kayekjian, OD
• Janis E Keeton, MD
• Claire King, LPC
• Robert C Kirby, LISW
• Shawn Kiser
• Margaret Elizabeth Kitchens, LISW-C, CEAP
• Renee Lynn Kleppe-Bach, OTR/L

• Speech-Language Pathologist in Chapin, SC
• Providers in Chapin, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.