Active NPI
Laura Kelly, M.A., CCC-SLP
- Speech-Language Pathologist
- Loveland, OH
National Provider Identifier
1235518630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11704
- Practice address
- 3329 Saint Georges Way
Loveland, OH 45140-1551 - Phone
- (513) 924-2545
- Fax
- (513) 396-5593
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SP.11704 | OH | Primary |
Addresses
Primary practice location
3329 Saint Georges Way
Loveland, OH 45140-1551
Mailing address
3329 Saint Georges Way
Loveland, OH 45140-1551
Phone (513) 924-2545
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.11704 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1235518630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3329 SAINT GEORGES WAY",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451401551",
"telephone_number": "513-924-2545",
"fax_number": "513-396-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3329 SAINT GEORGES WAY",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451401551",
"telephone_number": "513-924-2545",
"fax_number": "513-396-5593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LAURA",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.