Kelly Langan Bailey, MS.SLP/CCC, MA. BCBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5642 Issued in SC

Practice address

1123 Queensborough Blvd Ste 102
Mt Pleasant, SC 29464-3682

Phone

(843) 352-7049

NPI assigned

Mar 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1609199082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51322",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025622",
            "telephone_number": "270-777-9283",
            "fax_number": "270-777-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 QUEENSBOROUGH BLVD STE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643682",
            "telephone_number": "843-352-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KELLY",
        "middle_name": "LANGAN",
        "name_prefix": "Mrs.",
        "credential": "MS.SLP/CCC, MA. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5642",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-12-10059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Bagley, LISW-CP
• Sarah Bagley, OTR/L
• Madison Janemarie Bagwell
• Yuehan Bai, MASSAGE THERAPIST
• Bailey Weightman, DDS, MSD, LLC
• Kyla Bailey, BCBA
• Marjorie Dawson Bailey, RN
• Grayson Insley Bainbridge, LPCA
• Michal Lucile Baird, MD
• Allison Grondski Baker, DC

• Speech-Language Pathologist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.