Kelly E Parker, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2001 Issued in MS

Practice address

118 College Dr
#10035
Hattiesburg, MS 39406-0001

Phone

(601) 266-5223

Fax

(601) 266-6763

NPI assigned

Aug 6, 2012

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kelly E Talley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Usm Dubard School

  • Speech-Language Pathologist
  • Hattiesburg, MS
  • NPI 1770612442
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1265789556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 KNOLLWOOD LN",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394753468",
            "telephone_number": "985-705-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR",
            "address_2": "#10035",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060001",
            "telephone_number": "601-266-5223",
            "fax_number": "601-266-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2001",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TALLEY",
            "middle_name": "E",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheri Papizan, MD
• Eun Park
• Lynley Park
• Amy Parker, PT, DPT, COMT
• Jacob C. Parker, DO, MD
• Miranda Parker
• Precious Parker
• Regan Rhian Parker, DNP, CRNA
• Renee Parker, RN
• Robert Henry Parker

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.