Kelly Canterbury

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7783 Issued in OH

Practice address

5004 Glazier Ave
Cleveland, OH 44127-1111

Phone

(216) 883-6118

NPI assigned

Apr 22, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1285054957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 BOXELDER DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567017",
            "telephone_number": "440-309-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 GLAZIER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271111",
            "telephone_number": "216-883-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Cannon
• Tiffany Cannon, RN
• Stacy Cantale-Thomas, APRN-CNP
• Amanda Marie Canter, PHARMACY TECHNICIAN
• Bryan Canterbury, MD
• Linda M Canterna
• Keiran Cantilina
• Christine Elaine Cantillon
• Daniel James Cantillon, M.D.
• Kyle Cantor

• Speech-Language Pathologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.