Individual provider Active NPI

Kelley Caniglia

  • Speech-Language Pathologist
  • Parma Heights, OH
National Provider Identifier
1215353412
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-5108 Issued in OH
Practice address
9999 Independence Blvd
Parma Heights, OH 44130-4644
Phone
(440) 842-7995
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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-5108 OH Primary

Addresses

Primary practice location

9999 Independence Blvd
Parma Heights, OH 44130-4644

Mailing address

9999 Independence Blvd
Parma Heights, OH 44130-4644
Phone (440) 842-7995

Other identifiers 1

IdentifierTypeStateIssuer
AFMedicaidOH

Other names 1

  • Mrs. Kelley Jo Caniglia Professional name

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-5108OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1215353412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 INDEPENDENCE BLVD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304644",
            "telephone_number": "440-842-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 INDEPENDENCE BLVD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304644",
            "telephone_number": "440-842-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIGLIA",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-5108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AF",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "CANIGLIA",
            "middle_name": "JO",
            "prefix": "MRS.",
            "credential": "MA CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.