Kelsey Shea Martin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11534 Issued in NC

Practice address

6614 Buck Horn PL
Waxhaw, NC 28173-0181

Phone

(704) 774-6221

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Playful Communication, PLLC

  • Speech-Language Pathologist
  • Waxhaw, NC
  • NPI 1740802487
  NPD Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1477968691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 BUCK HORN PL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730181",
            "telephone_number": "704-774-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 BUCK HORN PL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730181",
            "telephone_number": "704-774-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077512",
            "country_code": "US",
            "telephone_number": "919-781-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELSEY",
        "middle_name": "SHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Malecki, M.D.
• Michael Anthony Maloney
• Sepideh Manafi
• Cristin Marchese
• Susan Marcus
• Dianne Seaman Mathews, MD, MPH
• Tyrone Thomas Matthews, LCSW
• Irene Carros Mavroidis
• Susan Ann McCaffrey, OTR
• Laura McCarthy, PT

• Speech-Language Pathologist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.