Organization Active NPI

Kelly Sieg Incorporated

  • Speech-Language Pathologist
  • Lecanto, FL
National Provider Identifier
1255461232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5678 Issued in FL
Legal business name
KELLY SIEG INCORPORATED
Practice address
1651 W Gulf to Lake Hwy
Lecanto, FL 34461-7722
Phone
(352) 746-9233
Fax
(352) 746-9323
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kelly Jean Sieg, M.A., CCC,SLP, BCBA
Title
President
Phone
(352) 746-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA5678 FL Primary

Addresses

Primary practice location

1651 W Gulf to Lake Hwy
Lecanto, FL 34461-7722

Mailing address

1651 W Gulf to Lake Hwy
Lecanto, FL 34461-7722
Phone (352) 746-9233

Other names 1

  • Above and Beyond Communication Other name

National Provider Directory

National Provider Directory

Locations

1651 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 746-9233

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255461232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617722",
            "telephone_number": "352-746-9233",
            "fax_number": "352-746-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617722",
            "telephone_number": "352-746-9233",
            "fax_number": "352-746-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SIEG INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEG",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-746-9233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC,SLP, BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above and Beyond Communication",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.