Individual provider Active NPI

Kelly Lee Hilborn, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Beachwood, OH
National Provider Identifier
1285959494
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9457 Issued in OH
Practice address
27100 Cedar Rd
Beachwood, OH 44122-1109
Phone
(216) 831-6500
NPI assigned
Mar 30, 2010
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9457 OH Primary

Addresses

Primary practice location

27100 Cedar Rd
Beachwood, OH 44122-1109

Mailing address

10480 Misty Ridge Dr
Concord Township, OH 44077-9002
Phone (440) 554-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9457OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC PastSince Nov 1, 2019 Accepting new patients
Wellqor Psychological Services of California, PC PastSince Nov 1, 2019 Accepting new patients
Menorah Park Center for Senior Living Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1285959494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 MISTY RIDGE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779002",
            "telephone_number": "440-554-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBORN",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "9457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.