Kelli Tracey, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3981 Issued in ME

Practice address

216 High St
Ellsworth, ME 04605-1742

Phone

(207) 619-1172

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• The O.T. Spot, LLC

  • Occupational Therapist
  • Milbridge, ME
  • NPI 1437770252

  Speech-Language Pathologist

  NPD
• Acadia Therapy Services LLC

  • Pediatric Occupational Therapist
  • Ellsworth, ME
  • NPI 1922592039
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1275213746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051022",
            "telephone_number": "207-619-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HIGH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051742",
            "telephone_number": "207-619-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "KELLI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "KENNEDY",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Titcomb
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• Total Renal Care Inc
• Melissa Tozier
• Douglas Lee Trenkle, DO
• Trenton School Department
• Amy Trundy, MHRT-CSP
• Natashia M Turner
• Katherine Mae Tusing, RDH

• All providers in Ellsworth, ME
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.