Bethany Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025006 Issued in NY

Practice address

PO Box 1824
Pleasant Valley, NY 12569-1824

Phone

(845) 247-9988

NPI assigned

Mar 14, 2014

Last updated

Oct 8, 2024By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nysarc Inc. Columbia County Chapter

  • Voluntary or Charitable Agency
  • Hudson, NY
  • NPI 1548563950
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1437575420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125691824",
            "telephone_number": "845-247-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125691824",
            "telephone_number": "845-247-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Jayne Hughes, RN
• Malcolm Gilbert Idelson, M.D.
• Rachelle Cherie Jennings, LPN
• Gwendolyn Johnson
• Karina Karas, RD
• June Kimbark
• Laura Kovacs, RN
• Cheryl Christine Kranik, M.A. CCC-SLP
• Dawn Helene Kristiansen-Rubin, L.C.A.T.
• Heather L Kunkel, LCSW

• Speech-Language Pathologist in Pleasant Valley, NY
• Providers in Pleasant Valley, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.