Kelly Covington, MS-CCC, SLP

Individual provider Active NPI Speech-Language Pathologist · Springfield, TN

NPI 1609227693 · NPPES record last updated Jun 30, 2016

Key facts

NPI
1609227693
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5600 (TN)
Practice address
514 S Brown St
Suite 600
Springfield, TN 37172-2937
Phone
(615) 382-0500
Fax
(615) 382-0501
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5600TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Pediatric Therapy Center PLLC Past Accepting new patients
Shine Pediatric Therapy Past
since Oct 1, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5600 TN Yes

Addresses

Primary practice location

514 S Brown St
Suite 600
Springfield, TN 37172-2937

Mailing address

514 S Brown St
Suite 600
Springfield, TN 37172-2937
Phone (615) 382-0500

Other providers in Springfield, TN

All providers in Springfield, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.