Kelly Marie Ross, MS. SLP, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0312 Issued in AZ

Practice address

15802 N. Parkview Place
Surprise, AZ 85374

Phone

(623) 876-7394

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surprise, AZ
  • NPI 1750595369
  NPD (past)
• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surpirse, AZ
  • NPI 1770625758
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427107929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 W ASTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041824",
            "telephone_number": "623-931-8030",
            "fax_number": "623-915-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 N. PARKVIEW PLACE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-876-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS. SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rosales
• Patrick James Roscetti, MD
• Rosemary Fadool DO PC (Elements of Care OBGYN)
• Lauren Riley Rosenthal
• George Augustin Rosnowski
• Mimi Ross
• Patricia Ross
• Courtney Rosson
• Hunter Scott Rowe, D.M.D.
• Jill T Rowland, LPC

• Speech-Language Pathologist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.