Kelsey Fortune Dalene, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008991 Issued in GA

Practice address

300 W Wieuca Rd NE Ste 115
Atlanta, GA 30342-3352

Phone

(404) 808-5427

NPI assigned

Aug 12, 2015

Last updated

Jan 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Buckhead Speech Specialists, Inc.

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1477081487
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1639545767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-808-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-808-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALENE",
        "first_name": "KELSEY",
        "middle_name": "FORTUNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003168336A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nupur Dalal, MD
• Som Dalamon
• Lori A Dalcour, NP
• Amber Maria Dale, NP
• Barbara Warshaw Dale, MSW, LCSW
• Tanicia Cheri Daley Jean Pierre, MD
• Daniel Seth Daley
• Tierra Lynne Daley, MSN, RN
• Gregel A Dali-on, PT, DPT, CLT, GCS
• Christopher A Dalinkus, D.O.

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.