Heather Kelly, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3994 Issued in NM

Practice address

5100 Masthead St NE
Albuquerque, NM 87109-4366

Phone

(505) 437-3800

NPI assigned

Feb 6, 2007

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1336288281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 CARRIAGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092904",
            "telephone_number": "505-321-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094366",
            "telephone_number": "505-437-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HEATHER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94839557",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Michele Kelly, BA
• Anna Bingham Kelly, CFNP CDE
• Catherine Marie Kelly, CCC-SLP
• Christopher Kelly, MD
• Elizabeth Kelly
• Jackson Kelly
• James Edward Breandan Kelly IV, MD
• Jeremiah F Kelly, M.D.
• Leslie Kelly, LPC
• Linda R Kelly, PHARMD PHC

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.