Kali Renee Farris, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010500 Issued in PA

Practice address

PO Box 14086
Poland, OH 44514-7086

Phone

(330) 770-2708

NPI assigned

Jan 26, 2012

Last updated

Apr 24, 2025By 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

Other names 1

• Kali Renee Whiteside Former name

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• 330 Speech Therapy LLC

  • Speech-Language Pathologist
  • Poland, OH
  • NPI 1790586824
  Medicare reassignment NPD
• Trotter Therapy Services, LLC

  dba Mohawk Physical Therapy

  • Physical Therapist
  • Bessemer, PA
  • NPI 1962914895
  Medicare reassignment NPD

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1467723189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14086",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445147086",
            "telephone_number": "330-770-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 14086",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445147086",
            "telephone_number": "330-770-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "KALI",
        "middle_name": "RENEE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "WHITESIDE",
            "middle_name": "RENEE",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Extended Family Home Care Services LLC
• Eye Care Associates, Inc
• Eye Care Associates, Inc.
• Eyemart Express LLC
• Sallyanne Falasca, LISW-S
• Cathy Fedor, RN
• Lisa Feezle, BCBA
• Stephanie Fellenger, LPCC
• Tina Marie Femia, CNS
• Mary Lou Ferranto, APRN-BC

• Speech-Language Pathologist in Poland, OH
• Providers in Poland, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.