Kara Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11595 Issued in FL

Practice address

2520 Sand Mine Rd
Davenport, FL 33897-3402

Phone

(407) 910-2941

NPI assigned

Sep 8, 2011

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carrousel Therapy Center Corporation

  dba Carrousel Therapy & Behavioral Health Services

  • Forensic Psychiatry Physician
  • Kissimmee, FL
  • NPI 1023304128

  Speech-Language Pathologist

  Medicare reassignment NPD
• Childlife Therapy, L.L.C.

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1821053612
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1437430071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "407-359-5693",
            "fax_number": "407-792-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "407-910-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1486 Swanson Dr",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327655859",
            "country_code": "US",
            "telephone_number": "407-977-4448",
            "fax_number": "407-977-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004612200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harpreet K Kahlon, M.D.,
• Kairos Autism Center LLC
• Seth D Kaufman, D.O.
• Kayemed LLC
• William Cullen Keith, PT
• Rachel Alison Kenyon, CRNA
• Salisha Khan-Gani
• Aftab A Khan, M.D.
• Karen Khan, APRN
• Maria Cristina Khan, M.D.

• Speech-Language Pathologist in Davenport, FL
• Providers in Davenport, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.