Kelly McGill Buchanan, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06602 Issued in MD

Practice address

29770 Three Notch Road
Suite 201
Charlotte Hall, MD 20622

Phone

(301) 290-0800

Fax

(301) 290-1313

NPI assigned

Sep 16, 2010

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

Other names 1

• Ms. Kelly Ann McGill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Coordinated Movements Inc

  • Speech-Language Pathologist
  • Charlotte Hall, MD
  • NPI 1659462133
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1508174152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 WELCH FAMILY FARM PLACE",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-290-0800",
            "fax_number": "301-290-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29770 THREE NOTCH ROAD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-290-0800",
            "fax_number": "301-290-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KELLY",
        "middle_name": "MCGILL",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCGILL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rakiah Starr Battle
• June Lynn Becker, LCSW-C
• Board of Child Care of the United Methodist Church Inc
• Board of Child Care of the United Methodist Church, Inc.
• Marcel W Brooks, O.D.
• Kristi Burns, LCPC, LCADC
• Calverthealth Medical Center, Inc.
• Cam Rehabilitation Services, LLC
• Capital Foot & Ankle Care Centre, PA
• Autumn N Castro, FNP

• All providers in Charlotte Hall, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.