Kerry Mae Kenley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP10824 Issued in AZ

Practice address

2225 W Southern Ave Ste B
Mesa, AZ 85202-4716

Phone

(623) 888-3502

NPI assigned

Sep 5, 2017

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638

  WA

  Medicare reassignment NPD
• Multicare Health System

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1396297487
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1467970939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 E LAUREL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W SOUTHERN AVE STE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024716",
            "telephone_number": "623-888-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7556 E. Laurel St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85207",
            "country_code": "US",
            "telephone_number": "480-276-1664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENLEY",
        "first_name": "KERRY",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kempton & Nelson Diagnostics LLC
• Kempton Physical Therapy & Sports Medicine
• Danielle Lynn Kempton, PAC
• Paul Martin Kempton, MPT ATC
• Anne Kenison, CCC-SLP
• Alicia Nicole Kennedy, DMD
• Kelly Kennedy, PA-C
• Susan Lynne Kennedy, M.A., SLP
• Kenneth D. Osorio, M.D., PLLC
• Kenney Chiropractic

• All providers in Mesa, AZ
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.