Individual provider Active NPI

Kelly Anne Cooley

  • Speech-Language Pathologist
  • Toledo, OH
National Provider Identifier
1144878661
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13672 Issued in OH
Practice address
5950 Airport Hwy Ste 17
Toledo, OH 43615-7362
Phone
(419) 865-7500
NPI assigned
Aug 28, 2019
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.13672 OH Primary

Addresses

Primary practice location

5950 Airport Hwy Ste 17
Toledo, OH 43615-7362

Mailing address

5111 Cambrian Rd
Toledo, OH 43623-2623
Phone (513) 630-4869

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
SP.13672OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech, Language & Hearing Services, Inc Speech-Language Pathologist CurrentSince Sep 1, 2019 Accepting new patients
Hyman Hearing and Speech Center PastSince Sep 1, 2019 Accepting new patients

Locations

5950 Airport Hwy
Ste 17
Toledo, OH 43615
Phone (419) 865-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1144878661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 CAMBRIAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232623",
            "telephone_number": "513-630-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 AIRPORT HWY STE 17",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157362",
            "telephone_number": "419-865-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.