Kelly Marie Harris, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6451 Issued in FL

Practice address

404 SW Talquin LN
Port Saint Lucie, FL 34986-2062

Phone

(772) 418-6272

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

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.

• Kelly M. Harris, Ms, CCC-SLP, LLC

  • Speech-Language Pathologist
  • Port Saint Lucie, FL
  • NPI 1144547407
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326168956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SW TALQUIN LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862062",
            "telephone_number": "772-418-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SW TALQUIN LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862062",
            "telephone_number": "772-418-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Lynette Harper, MA
• Kameisha Lashaye Harrell
• Brittany June Harris
• Clinton Rodney Harris, LDO, ABOC, NCLEC
• Karen Lee Harris, PHARMD
• Marvalee Dianne Harris
• Stephen Brent Harris, DMD
• Enola Harrison, RN,BSN,CM/DN
• Celia Hart, COTA
• Has Consulting LLC

• Speech-Language Pathologist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.