Kelli Boitnott

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5309 Issued in TN

Practice address

5798 Hixson Home PL
Hixson, TN 37343-4898

Phone

(423) 842-0049

NPI assigned

May 25, 2023

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

Enrolled in TN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• The Weston Group of Tennessee Inc

  • Physical Therapist
  • Hixson, TN
  • NPI 1467866848

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1245922244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 HOLLY OAK LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212893",
            "telephone_number": "540-761-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HIXSON HOME PL",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434898",
            "telephone_number": "423-842-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOITNOTT",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artha Julia Black
• Melanie Black Blake, MD
• BLC Wellington-Hixson, LLC
• Alexis Nicole Boddy, N.P.
• Steven Wayne Bohr, CRNA
• Madeline Boote, PTA
• Brenda Sue Borkgren, NP-C
• Jon Brooks Boroughs, M.D.
• Shauna Borrero, RDN, LD, CNSC
• Stephanie Bougrat

• Speech-Language Pathologist in Hixson, TN
• Providers in Hixson, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.