Active NPI
Kelly Stephen Morgan
- Speech-Language Pathologist
- Poulsbo, WA
National Provider Identifier
1184192585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 18531 Noll Rd NE
Poulsbo, WA 98370-8736 - Phone
- (360) 396-3515
- NPI assigned
- Nov 5, 2018
- Sex
- Male
- 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 | WA | Primary |
Addresses
Primary practice location
18531 Noll Rd NE
Poulsbo, WA 98370-8736
Mailing address
18531 Noll Rd NE
Poulsbo, WA 98370-8736
Phone (360) 396-3500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1184192585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18531 NOLL RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708736",
"telephone_number": "360-396-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18531 NOLL RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708736",
"telephone_number": "360-396-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KELLY",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.