Kelly Amarante-Dutra, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002691 Issued in NC

Practice address

549 N Race St
Statesville, NC 28677-3915

Phone

(704) 872-8931

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1457195372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N RACE ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773915",
            "telephone_number": "704-872-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 N RACE ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773915",
            "telephone_number": "704-872-8931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Lash Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281479151",
            "country_code": "US",
            "telephone_number": "704-637-1182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 S Salisbury Ave",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "NC",
            "postal_code": "281591921",
            "country_code": "US",
            "telephone_number": "704-633-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMARANTE-DUTRA",
        "first_name": "KELLY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002691",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Allison, PT
• Brenda Marie Alloway, PH.D., J.D.
• Elisha H Allred, RDH
• Samer Alnabhan, M.D.
• Amanda B Kotis, DMD, PA
• Divine Ambe
• Robin West Ambrosini, MA, ED.S, LPCA, NCC
• American Renaissance School
• Priya Amin, PHARM D
• Karen Anne Amirehsani, FNP

• Speech-Language Pathologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.