Cherise Kelly, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008384 Issued in GA

Practice address

620 Scarlet Oak TRL
Milton, GA 30004-0916

Phone

(443) 416-5458

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1467098996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SCARLET OAK TRL",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300040916",
            "telephone_number": "443-416-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SCARLET OAK TRL",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300040916",
            "telephone_number": "443-416-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHERISE",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cheriserkelly@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal email",
            "address_1": "620 Scarlet Oak Trl",
            "city": "Milton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300040916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ingrambryant and Associates, LLC
• J M Hoffman PC
• Kristen Johnson
• JPC Dental Group (Milton Dental Specialists)
• Kristen Julian
• Oksana Kershteyn, MD
• Dzeneta Krndzija, NP-C
• Sophia Lillian Lamarca
• Teresa Parham Lane, PMHNP
• Courtney C Larson, CRNA, FNP-C

• Speech-Language Pathologist in Milton, GA
• Providers in Milton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.