Kelly Ann Calvillo, MHS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2254 Spring Run LN
Lowell, IN 46356-7126

Phone

(708) 426-3033

Fax

(219) 690-3119

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1144404989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 SPRING RUN LN",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463567126",
            "telephone_number": "708-426-3033",
            "fax_number": "219-690-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 SPRING RUN LN",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463567126",
            "telephone_number": "708-426-3033",
            "fax_number": "219-690-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVILLO",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Boicken
• Jennifer Boster
• Jane Brady, SLP
• Brand New Day, LLC
• Steven Joseph Butera, LMHC, LCAC, NCC, CHP
• Kelley Campbell, PHARMD
• Kathryn Camus
• Anastasia Christakis-Szostek
• Paul K Clark, DC
• David W Conaway, D.D.S.

• Speech-Language Pathologist in Lowell, IN
• Providers in Lowell, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.