Kelly C Fisher

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2004011771 Issued in MO

Practice address

301 N Clark St
Cape Girardeau, MO 63701-5105

Phone

(573) 335-1867

NPI assigned

Dec 5, 2008

Last updated

Dec 5, 2008By the provider in NPPES

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

Enrolled in MO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  MO

  Medicare reassignment Care Compare group
• Cape Girardeau Public School District

  • Local Education Agency (LEA)
  • Cape Girardeau, MO
  • NPI 1770623167
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1427293356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CLARK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015105",
            "telephone_number": "573-335-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CLARK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015105",
            "telephone_number": "573-335-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KELLY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004011771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Allene Ferguson, CRNA
• David Feuerhahn
• Robin Renee Fincher, RN
• Steven James Finstad, MD
• Fisher Family Home Care LLC
• Michael S. Flaim, D.O.
• Eric C Flint, M.D.
• Tucker Richard Flottman, MA, BCBA, LBA
• Flourish Behavioral Health
• Jonathon Foley, MD

• Speech-Language Pathologist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.