Andrea Kelley, M.S,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8421 Issued in FL

Practice address

10917 N Dale Mabry Hwy
Tampa, FL 33618-4112

Phone

(813) 962-6766

NPI assigned

Feb 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Premier Pediatric Therapy Centers, Inc.

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1427802651
  NPD
• Children'S Choice for Therapy

  • Specialist
  • Tampa, FL
  • NPI 1578628525
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205978459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W GRANADA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296618",
            "telephone_number": "813-787-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184112",
            "telephone_number": "813-962-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "M.S,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolan Csus Keller, M.D.
• Keri Ashton Keller
• Luke Alan Keller
• Elizabeth Christina Kelleran
• Aliana Kellerhouse-Griffin
• Brenda (None) Kelley, R.N.
• Elizabeth Christine Kelley, CNIM
• Jospeh William Kelley
• Karohn T Kelley
• Kimberlyn Nanetta Kelley, OTD, OTR/L

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.