Active NPI
Kelly Sieg Incorporated
- Speech-Language Pathologist
- Lecanto, FL
National Provider Identifier
1255461232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5678
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryLocations
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.