Individual provider Active NPI

Kelly Irene Kernaghan, MS, CCC/SLP

  • Speech-Language Pathologist
  • New Port Richey, FL
National Provider Identifier
1629225289
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA1840 Issued in FL
Practice address
7657 Cita LN
New Port Richey, FL 34653-6221
Phone
(727) 376-1111
Fax
(727) 376-1113
NPI assigned
Aug 25, 2008
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA1840 FL Primary

Addresses

Primary practice location

7657 Cita LN
New Port Richey, FL 34653-6221

Mailing address

7657 Cita LN
New Port Richey, FL 34653-6221
Phone (727) 376-1111

Other identifiers 2

IdentifierTypeStateIssuer
880475300MedicaidFL
BX726ZOtherFLMEDICARE

Other names 1

  • Mrs. Kelly Irene Callegari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000411 FL Practitioner - Qualified Speech Language Pathologist 1254483464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6245 State Rd
Suite 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kernaghan and Moore: Speech and Language Therapy Services, Inc. Speech-Language Pathologist CurrentSince Jul 1, 2009 Accepting new patients
Kernaghan and Moore: Speech and Language Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

7657 Cita Ln
New Prt Rchy, FL 34653
Phone (727) 312-4844

6245 State Road 54
New Prt Rchy, FL 34653
Phone (727) 376-1111

1226 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-5550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1629225289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNAGHAN",
        "first_name": "KELLY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA1840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880475300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BX726Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CALLEGARI",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "MS, CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.