Suzanne Swindle Kelly, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

820 S Walton Blvd
Ste 15
Bentonville, AR 72712-6269

Phone

(479) 616-6088

Fax

(479) 351-0521

NPI assigned

Jul 15, 2019

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Sunflower Speech & Feeding LLC

  • Speech-Language Pathologist
  • Bentonville, AR
  • NPI 1619709714
  NPD Authorized official
• Kids Spot LLC

  • Physical Therapy Clinic/Center
  • Springdale, AR
  • NPI 1174845358

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1467004820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PEAK ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727187108",
            "telephone_number": "479-616-6088",
            "fax_number": "479-351-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S WALTON BLVD",
            "address_2": "STE 15",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126269",
            "telephone_number": "479-616-6088",
            "fax_number": "479-351-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUZANNE",
        "middle_name": "SWINDLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kati Wells CBT
• Navneet Kaur, M.D.
• Alison Keesaer
• Sarah Keith
• Ciara Kelley
• Macey Kemp
• Mary Frances Kempson, PHARM.D.
• Mark Alan Kendall, MD
• Erin Kay Kennedy
• Keisha Kennedy, PLMSW

• Speech-Language Pathologist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.