Active NPI
Gloria M Kelly, CCC-SLP
- Speech-Language Pathologist
- Arab, AL
National Provider Identifier
1316623176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5416
- Practice address
- 1952 N Brindlee Mountain Pkwy
Arab, AL 35016-5433 - Phone
- (256) 931-3711
- Fax
- (256) 586-0709
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5416 | AL | Primary |
Addresses
Primary practice location
1952 N Brindlee Mountain Pkwy
Arab, AL 35016-5433
Mailing address
1952 N Brindlee Mountain Pkwy
Arab, AL 35016-5433
Phone (256) 931-3711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5416 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1316623176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 N BRINDLEE MOUNTAIN PKWY",
"city": "ARAB",
"state": "AL",
"postal_code": "350165433",
"telephone_number": "256-931-3711",
"fax_number": "256-586-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 N BRINDLEE MOUNTAIN PKWY",
"city": "ARAB",
"state": "AL",
"postal_code": "350165433",
"telephone_number": "256-931-3711",
"fax_number": "256-586-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "GLORIA",
"middle_name": "M",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "5416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arab, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.