Katie Marie Conicelli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014565 Issued in PA

Practice address

2081 Braden CT
Harleysville, PA 19438-2890

Phone

(484) 645-7244

NPI assigned

Oct 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannondell, Inc.Group PAC ID 9032141189, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shannondell, Inc.

  • Skilled Nursing Facility
  • Audubon, PA
  • NPI 1922056076
  Medicare reassignment Care Compare group NPD
• Shannondell Inc.

  • Physical Therapy Clinic/Center
  • Audubon, PA
  • NPI 1972982247
  NPD
• Shannondell, Inc.

  • Primary Care Clinic/Center
  • Audubon, PA
  • NPI 1225825342
  NPD

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1346069804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 BRADEN CT",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382890",
            "telephone_number": "484-645-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 BRADEN CT",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382890",
            "telephone_number": "484-645-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONICELLI",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Chudoba
• Frank Joseph Ciuba, DPT, MS
• Karen M Clapper, CCC SLP L
• Clemens Market Inc
• Elizabeth Colucci
• Corinne Michelle Coonahan, COTA
• Cynthia Croissette, LPN
• Adriana Cugini, OTR/L
• Leah Daywalt, RDN, LDN
• Jeanne Ragan Defrangesco, CRNP

• Speech-Language Pathologist in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.