Jessica L Kelly, BA SLP/A, MS, ITFS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

8004 Crooked Chute CT
Raleigh, NC 27612-7324

Phone

(919) 469-5244

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica L Morgan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1609057439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 CROOKED CHUTE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127324",
            "telephone_number": "919-469-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 CROOKED CHUTE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127324",
            "telephone_number": "919-469-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "BA SLP/A, MS, ITFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MORGAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chyra Kelly
• Elizabeth Ann Kelly, PT
• Eric James Kelly, LCSW
• Jalisa Brianne Kelly, MD
• Jennifer Ford Kelly, MED, EDS, LPC
• Juliet Morgan Kelly, PA-C
• Kandis Kelly, LCSWA
• Katelyn Victoria Kelly, LCSWA
• Kathryn Caroline Kelly, LCMHC, LCAS, NCC
• Larry Kelly, PA

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.