Active NPI
Brigette Kelly
- Speech-Language Pathologist
- Charleston, SC
National Provider Identifier
1427539824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 75 Calhoun St FL 2
Charleston, SC 29401-3502 - Phone
- (843) 937-6300
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
75 Calhoun St FL 2
Charleston, SC 29401-3502
Mailing address
115 Cooke St
Daniel Island, SC 29492-7545
Phone (419) 266-5123
Other practice location 1
5500 Princeton Rd
Liberty Twp, OH 45011-9726
Phone (513) 644-1130 ext. 11114
Other practice location 2
4031 Lansdowne Ave
Cincinnati, OH 45236-3025
Phone (419) 266-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1427539824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COOKE ST",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927545",
"telephone_number": "419-266-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CALHOUN ST FL 2",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013502",
"telephone_number": "843-937-6300"
}
],
"practiceLocations": [
{
"address_1": "5500 Princeton Rd",
"address_purpose": "LOCATION",
"city": "Liberty Twp",
"state": "OH",
"postal_code": "450119726",
"country_code": "US",
"telephone_number": "513-644-1130 x11114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4031 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452363025",
"country_code": "US",
"telephone_number": "419-266-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "BRIGETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.