Kelly Michele Schmidt Clay, PHD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2012005893 Issued in MO

Practice address

1 Hospital Dr
Columbia, MO 65201-5276

Phone

(573) 882-8174

Fax

(573) 884-4205

NPI assigned

Jan 19, 2012

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 names 1

• Kelly Michele Schmidt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1417228701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015276",
            "telephone_number": "573-882-8174",
            "fax_number": "573-884-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT CLAY",
        "first_name": "KELLY",
        "middle_name": "MICHELE",
        "credential": "PHD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2012005893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SCHMIDT",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Van Ambrose Schloegel, MD
• David M Schlossman, MD PHD
• Tailor L Schlotzhauer, MSW, LMSW
• Richard A Schmaltz, MD
• Rachel Leeann Schmidli, BCBA
• Joel Schmidt, DO
• Vanessa Michele Schmidt, M.D.
• Angela M Schmitt, D.O.
• Teresa Schmitter, BCBA
• Brittany Schmitz, MS, RBT, BCBA

• Audiologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.