Active NPI
Kelsey M Flynn, SLP
- Speech-Language Pathologist
- Chadds Ford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013783
- Practice address
- 161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041 - Phone
- (610) 361-1195
- Fax
- (610) 361-1199
- NPI assigned
- Dec 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0001352 | DE | |
| Speech-Language Pathologist | 235Z00000X | SL013783 | PA | Primary |
Addresses
Primary practice location
161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Mailing address
200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0001352 | DE | MD | Speech-Language Pathologist |
| SL013783 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
161 Wilmington W Chester Pike
Ste 1500
Chadds Ford, PA 19317
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
Organizations & group practices 6
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.
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- Nuclear Medicine Physician
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- NPI 1023445889
-
- Obstetrics & Gynecology Physician
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- NPI 1053150375
-
- Surgery Physician
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-
- Family Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1154837128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WILMINGTON W CHESTER PIKE",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193179041",
"telephone_number": "610-361-1195",
"fax_number": "610-361-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KELSEY",
"middle_name": "M",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001352",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chadds Ford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.