Kelli Lynn Loss, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010356-1 Issued in NY

Practice address

2900 Delaware Ave
Kenmore, NY 14217-2309

Phone

(716) 871-9883

Fax

(716) 871-9887

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversified Services for Occupational Therapy Physical TherGroup PAC ID 0143204917, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diversified Services for Occupational Therapy, Physical Ther

  • Audiologist
  • Kenmore, NY
  • NPI 1447283882

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

  • Physical Medicine & Rehabilitation Physician
  • Kenmore, NY
  • NPI 1417576547
  NPD
• Medical Practitioner Services of Wny PC

  • Developmental Disabilities Clinic/Center
  • Buffalo, NY
  • NPI 1376129015
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1609943919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LABELLE TER",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281329",
            "telephone_number": "716-568-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172309",
            "telephone_number": "716-871-9883",
            "fax_number": "716-871-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSS",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010356-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Lombard, OTR/L
• Edward D. Long III, D.D.S.
• Christian Josue Lopez, 175T00000X
• Darlene Lopez, OTR/L
• Haley Jade Loss
• Garnet Loveday
• Evan Lovullo, DC
• Kelly A Lubey, PT
• Alyssa Lucarelli
• Rachel Marie Luczak

• Speech-Language Pathologist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.