Kellie Elizabeth Gronefeld, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2699 Issued in KY

Practice address

3241 Ellis Way
Louisville, KY 40220-1941

Phone

(502) 548-7343

NPI assigned

Dec 20, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1366711368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 ELLIS WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201941",
            "telephone_number": "502-548-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 ELLIS WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201941",
            "telephone_number": "502-548-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEFELD",
        "first_name": "KELLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Grissom, RBT
• Adrianne Patrice Griten, APRN-FNP
• Kelly Graves Gritton, RPH
• Amy Leigh Grizzle, PT
• Diller Baer Groff, M.D.
• Sydney Gronemeyer
• Peter Michael Gronet, DDS
• Macreena M Groody, M.S. CCC-SLP
• Julie Groseclose, RBT
• Jeffrey Nichols Gross

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.