Kelly Rose Pancratz, MA, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106322 Issued in IA

Practice address

3485 Windsor Ave
Dubuque, IA 52001-1329

Phone

(563) 557-7180

NPI assigned

Nov 8, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

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.

• Dubuque Speech Solutions PLLC

  • Speech-Language Pathologist
  • Dubuque, IA
  • NPI 1114631686
  NPD Authorized official

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1215538996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "877-787-3422",
            "fax_number": "847-441-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011329",
            "telephone_number": "563-557-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCRATZ",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "credential": "MA, CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "106322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Care LLC
• Divya Pal, OTR/L
• Christopher G Palmer, MD
• Jordan Palmer
• Anna Marie Pancratz, M.A., CCC-SLP
• Lois Pancratz, ARNP
• Anthony Pape, PHARMD
• Patricia Pape, DPT
• Paramount Emergency Medical Service Inc
• Charles Allen Parker, M.D.

• Speech-Language Pathologist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.