Individual provider Active NPI

Kelli Meyer Floyd, MCD CCC-SLP

  • Speech-Language Pathologist
  • Blythewood, SC
National Provider Identifier
1558531145
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4216 Issued in SC
Practice address
105 Fox Hill Dr.
Blythewood, SC 29016-8741
Phone
(803) 530-2214
Fax
(803) 788-4715
NPI assigned
Mar 10, 2008
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 4216 SC Primary

Addresses

Primary practice location

105 Fox Hill Dr.
Blythewood, SC 29016-8741

Mailing address

105 Fox Hill Dr.
Blythewood, SC 29016-8741
Phone (803) 530-2214

Other names 1

  • Miss Kelli Joanne Meyer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Therapy Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1558531145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FOX HILL DR.",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168741",
            "telephone_number": "803-530-2214",
            "fax_number": "803-788-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FOX HILL DR.",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168741",
            "telephone_number": "803-530-2214",
            "fax_number": "803-788-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "KELLI",
        "middle_name": "MEYER",
        "name_prefix": "Mrs.",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MEYER",
            "middle_name": "JOANNE",
            "prefix": "MISS",
            "credential": "MCD CFY-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.