Erin Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

211846 Issued in AK

Practice address

333 Schoenbar Rd
Ketchikan, AK 99901-6278

Phone

(501) 208-4873

NPI assigned

Aug 4, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Breaking Barriers LLC

  • Speech-Language Pathologist
  • Ketchikan, AK
  • NPI 1184315350
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1619659067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010478",
            "telephone_number": "501-028-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOENBAR RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016278",
            "telephone_number": "501-208-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "211846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Kaltenbaeck, P.A.
• Natasha Rae Kapralov
• Andrew Jess Kashevarof
• Sarah Katchen, MD
• Maxx Ritchie Keizer, PHARMD
• Sherity L Kelly
• Ashley Kessler
• Alice Ketah
• Ketchikan Dental
• Ketchikan Emergency Physicians, LLC

• Speech-Language Pathologist in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.