Active NPI
Kelly Anne Allen
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1578040028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882 - Phone
- (480) 855-0474
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882
Mailing address
8333 E Jensen Cir
Mesa, AZ 85207-3164
Phone (480) 209-8764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2018.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1578040028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 E JENSEN CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852073164",
"telephone_number": "480-209-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 N ALMA SCHOOL RD STE A106",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242882",
"telephone_number": "480-855-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KELLY",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.