Kelly Berridge, M.S., SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14088847 Issued in HI

Practice address

226 N Kuakini St
Honolulu, HI 96817-2488

Phone

(808) 531-3511

NPI assigned

Jun 19, 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

Other names 1

• Kelly Samples Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1215553714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172498",
            "telephone_number": "808-542-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-531-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIDGE",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "14088847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelly.samples@rehabhospital.org",
            "affiliation": "N",
            "address_1": "226 N Kuakini St",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968172488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SAMPLES",
            "credential": "M.S., SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marjorie S Bernice, APRN
• David M. Bernstein, M.D.
• Julie Ellen Bernstein, MD
• Oren Bernstein, M.D.
• Vladimir G. Bernstein, MD
• Lindsey Mura Kauikeolani Berrington, FNP
• Jakeyah Berry
• Kaori Mita Berry, L.AC
• Manon Lea Bersier, DDS
• Bert KW Wong MD LLC

• Speech-Language Pathologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.