Active NPI
Erin Kelley
- Speech-Language Pathologist
- Lacey, WA
National Provider Identifier
1144802448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60998727
- Practice address
- 6211 Mullen Rd SE
Lacey, WA 98503-7146 - Phone
- (360) 412-4600
- NPI assigned
- Apr 26, 2021
- 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 | LL60998727 | WA | Primary |
Addresses
Primary practice location
6211 Mullen Rd SE
Lacey, WA 98503-7146
Mailing address
1251 McDaniel LN SE Apt 202
Lacey, WA 98503-7237
Phone (360) 480-6879
Other practice location 1
305 College St NE
Lacey, WA 98516-5390
Phone (360) 412-4400
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 |
|---|---|---|---|
| LL60998727 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1144802448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 MCDANIEL LN SE APT 202",
"city": "LACEY",
"state": "WA",
"postal_code": "985037237",
"telephone_number": "360-480-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 MULLEN RD SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985037146",
"telephone_number": "360-412-4600"
}
],
"practiceLocations": [
{
"address_1": "305 College St NE",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985165390",
"country_code": "US",
"telephone_number": "360-412-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60998727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.