Active NPI
Kelly Yvonne McDaniel, MS
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1568626604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA19681
- Practice address
- 707 N Broadway
Kennedy Krieger Institute
Baltimore, MD 21205-1832 - Phone
- (443) 923-9200
- Fax
- (443) 923-9405
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA19681 | FL | Primary |
Addresses
Primary practice location
707 N Broadway
Kennedy Krieger Institute
Baltimore, MD 21205-1832
Mailing address
495 Alt 19 Unit 170
Palm Harbor, FL 34682-9708
Phone (727) 953-7025
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA19681 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Harmony Therapies | 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 and National Provider Directory roles.
-
- Feeding, Eating & Swallowing Occupational Therapist
- Palm Harbor, FL
- NPI 1558148858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1568626604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 ALT 19 UNIT 170",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346829708",
"telephone_number": "727-953-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"address_2": "KENNEDY KRIEGER INSTITUTE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "443-923-9200",
"fax_number": "443-923-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "KELLY",
"middle_name": "YVONNE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA19681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.