Individual provider Active NPI

Keli Anne Coletti, MA, CCC-SLP, TSLD

  • Speech-Language Pathologist
  • White Plains, NY
National Provider Identifier
1477853885
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020482 Issued in NY
Practice address
333 Westchester Ave
West Suite 202
White Plains, NY 10604-2910
Phone
(914) 328-2868
NPI assigned
Nov 1, 2010
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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 020482 NY Primary

Addresses

Primary practice location

333 Westchester Ave
West Suite 202
White Plains, NY 10604-2910

Mailing address

95 Beekman Ave
Apt. C206
Sleepy Hollow, NY 10591-2549
Phone (914) 476-1212

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
020482NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1477853885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BEEKMAN AVE",
            "address_2": "APT. C206",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912549",
            "telephone_number": "914-476-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "WEST SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-328-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLETTI",
        "first_name": "KELI",
        "middle_name": "ANNE",
        "credential": "MA, CCC-SLP, TSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.