Caroline Anne Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5915 Glennor Rd
Baltimore, MD 21239-2256

Phone

(410) 396-6380

NPI assigned

Jul 16, 2024

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

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1386482263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 MASTERS CT",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746907",
            "telephone_number": "301-524-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 GLENNOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392256",
            "telephone_number": "410-396-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Sudbrook Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084184",
            "country_code": "US",
            "telephone_number": "410-358-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Garafola, LCSW-C, LLC
• Alana Rose Kelly, FNP-C
• Alexander Ryan Kelly
• Alexandra Kelly, LCSW-C
• Audrey Michelle Kelly, MSW, LCSW-C
• Daniella Kelly
• Erica Kelly
• Geoffrey Stuart Kelly, M.D.
• Jacqueline Rita Kelly, CRNP
• Jazzolynn Khaliya Kelly, DNP, CRNP, FNP-BC

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.