Individual provider Active NPI

Kelly Quinn Connor

  • Speech-Language Pathologist
  • Indian Trail, NC
National Provider Identifier
1457987935
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029564 Issued in NY
Practice address
6555 Old Monroe Rd Ste B
Indian Trail, NC 28079-5410
Phone
(980) 290-1420
NPI assigned
Mar 17, 2020
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 029564 NY Primary

Addresses

Primary practice location

6555 Old Monroe Rd Ste B
Indian Trail, NC 28079-5410

Mailing address

1202 Top Flight Dr
Indian Trail, NC 28079-5828
Phone (585) 269-4461

Other practice location 1

399 Ogden Parma Town Line Rd
Spencerport, NY 14559-1654
Phone (585) 349-5600

Other practice location 2

225 West Ave
Hilton, NY 14468-1253
Phone (585) 392-1000

Other practice location 3

4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone (704) 332-4834

Other practice location 4

160 Wallace Way Unit 9
Rochester, NY 14624-6215
Phone (585) 617-2440

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Voices Speech Therapy Services CurrentSince Jan 21, 2024 Accepting new patients
Hilton Central School District Past Accepting new patients

Locations

6555 Old Monroe Rd
Ste B
Indian Trail, NC 28079
Phone (980) 290-1420

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1457987935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TOP FLIGHT DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795828",
            "telephone_number": "585-269-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 OLD MONROE RD STE B",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795410",
            "telephone_number": "980-290-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Ogden Parma Town Line Rd",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145591654",
            "country_code": "US",
            "telephone_number": "585-349-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 West Ave",
            "address_purpose": "LOCATION",
            "city": "Hilton",
            "state": "NY",
            "postal_code": "144681253",
            "country_code": "US",
            "telephone_number": "585-392-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282092378",
            "country_code": "US",
            "telephone_number": "704-332-4834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Wallace Way Unit 9",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146246215",
            "country_code": "US",
            "telephone_number": "585-617-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KELLY",
        "middle_name": "QUINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.