Active NPI
Kelli Palmer, M.S., CCC-SLP
- Speech-Language Pathologist
- Madison, OH
National Provider Identifier
1235386293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8717
- Practice address
- 3078 Princeton St
Madison, OH 44057-2822 - Phone
- (440) 983-4204
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | SP8717 | OH | Primary |
Addresses
Primary practice location
3078 Princeton St
Madison, OH 44057-2822
Mailing address
3078 Princeton St
Madison, OH 44057-2822
Phone (440) 983-4204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12085924 | Other | ASHA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP8717 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1235386293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3078 PRINCETON ST",
"city": "MADISON",
"state": "OH",
"postal_code": "440572822",
"telephone_number": "440-983-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3078 PRINCETON ST",
"city": "MADISON",
"state": "OH",
"postal_code": "440572822",
"telephone_number": "440-983-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KELLI",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP8717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12085924",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.