Kelly Ann Griffith, MHS CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00004598 Issued in WA

Practice address

6608 Gadsby Park Ter
Glen Allen, VA 23059-7082

Phone

(804) 929-6606

NPI assigned

Oct 10, 2007

Last updated

Dec 15, 2022By the provider in NPPES

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

Enrolled in VA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1871241414

  Speech-Language Pathologist

  Medicare reassignment NPD
• Kelly Griffith Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Glen Allen, VA
  • NPI 1649082744
  NPD Authorized official
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1629266069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 GADSBY PARK TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597082",
            "telephone_number": "804-929-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 GADSBY PARK TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597082",
            "telephone_number": "804-929-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MHS  CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007171",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jasmine Green, PNP
• Leslie Berkelhammer Greenberg, PH.D.
• Deanna Greene, CTRS, CCLS, QMHP-C
• Jason Gregory
• Griffith Family Chiropractic Center PC
• Lawrence F Griffith Jr., D.C.
• Jonathan Grygalonis, DPT
• Mark Gerard Guarino, DC
• Molly Guerrant, LPC
• Guifang Acupuncture & Herb LLC

• Speech-Language Pathologist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.