Kelly Duque, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7383 Issued in NC

Practice address

613 Burroughs Dr
Wilmington, NC 28412-3071

Phone

(910) 431-7382

Fax

(910) 794-3065

NPI assigned

Mar 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• At Home Therapy Franchising, LLC

  • Physical Therapist
  • Wrightsville Beach, NC
  • NPI 1922639939

  Speech-Language Pathologist

  NPD (past)
• At Home Therapy of Wilmington, Inc.

  • Occupational Therapist
  • Wrightsville Beach, NC
  • NPI 1174620371
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1154449767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BURROUGHS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123071",
            "telephone_number": "910-431-7382",
            "fax_number": "910-794-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 BURROUGHS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123071",
            "telephone_number": "910-431-7382",
            "fax_number": "910-794-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "KELLY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412575",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lorraine Dunne
• Cathryn Dunty, PA
• Sarah Edwards Duong
• Johannes Petrus Duplessis, PT
• Bryan Dupree, PHARMD
• Charla Marie Durante Alvarez, LCMHC, LCASA
• Allison Marie Durchholz
• Erin K Durham
• Mitchell Durham, PHD
• Stephen Bryan Durham, MD

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.