Kelly M. Harris, Ms, CCC-SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6451 Issued in FL

Legal business name

KELLY M. HARRIS, MS, CCC-SLP, LLC

Practice address

404 SW Talquin LN
Port Saint Lucie, FL 34986-2062

Phone

(772) 418-6272

Fax

(772) 785-9282

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Kelly M Harris, MS, CCC-SLPNPI 1326168956

Title

Speech-Language Pathologist/Owner

Phone

(772) 418-6272

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Marie Harris, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Port Saint Lucie, FL
  • NPI 1326168956
  NPD (past) Authorized official
• Chelsea Hoffman, MS, CCC-SLP

  • Speech-Language Pathologist
  • Port Saint Lucie, FL
  • NPI 1093021222
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1144547407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SW TALQUIN LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862062",
            "telephone_number": "772-418-6272",
            "fax_number": "772-785-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SW TALQUIN LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862062",
            "telephone_number": "772-418-6272",
            "fax_number": "772-785-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M. HARRIS, MS, CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "772-418-6272",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Katz, M.D.
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• Vincent Kelleher, H.A.S.
• Leticia Kelly, CERTIFIED NURSES ASS
• Michael Timothy Kelly, D.C.
• Kara N Kempf, APRN ,FNP-C
• Zsuzsa Kenez, OTR
• Eliana Ceglio Kent

• Speech-Language Pathologist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.