Individual provider Active NPI

Caitlin Kelley, CCC-SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1245983196
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
264339 Issued in KY
Practice address
4251 Saron Dr
Lexington, KY 40515-7005
Phone
(606) 574-0375
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 264339 KY Primary

Addresses

Primary practice location

4251 Saron Dr
Lexington, KY 40515-7005

Mailing address

3659 Iron Lace Dr
Lexington, KY 40509-2342
Phone (606) 584-0375

Other names 1

  • Caitlin Keef Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210002567 KY Practitioner - Qualified Speech Language Pathologist 8628461803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
264339KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist CurrentSince Feb 2, 2022 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Feb 2, 2022 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Past Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist Past Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

981 Campbell Ln
Bowling Green, KY 42104
Phone (270) 746-9600

100 Garden Way
Campbellsville, KY 42718
Phone (270) 789-1200

100 Windsor Path
Georgetown, KY 40324
Phone (502) 570-0540

115 Ashton Grove Path
Georgetown, KY 40324
Phone (502) 453-8605

2141 Executive Dr
Lexington, KY 40505
Phone (859) 252-1939

3535 Bardstown Rd
Louisville, KY 40218
Phone (502) 459-1400

6000 Hunting Rd
Louisville, KY 40222
Phone (502) 426-1425

5900 Hunting Rd
Louisville, KY 40222
Phone (800) 755-1458

1105 Dorsey Ln
Louisville, KY 40223
Phone (502) 785-0449

9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

2701 Frederica St
Owensboro, KY 42301
Phone (270) 926-6669

1415 W 1st St
Owensboro, KY 42301
Phone (270) 926-2345

1900 Pleasant Valley Rd
Owensboro, KY 42303

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1245983196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 IRON LACE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092342",
            "telephone_number": "606-584-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 SARON DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405157005",
            "telephone_number": "606-574-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CAITLIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "264339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "KEEF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.