Individual provider Active NPI

Kelli Lynn Slemp, SLP-CCC

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1639628985
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7847 Issued in FL
Practice address
2111 W Swann Ave Ste 100
Tampa, FL 33606-2478
Phone
(813) 251-1618
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA16104 FL
Speech-Language Pathologist 235Z00000X SZ7847 FL Primary

Addresses

Primary practice location

2111 W Swann Ave Ste 100
Tampa, FL 33606-2478

Mailing address

4207 S Dale Mabry Hwy Unit 3209
Tampa, FL 33611-1433
Phone (678) 386-4653

Other identifiers 1

IdentifierTypeStateIssuer
018911800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA16104FLMDSpeech-Language Pathologist
SZ7847FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1639628985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 S DALE MABRY HWY UNIT 3209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111433",
            "telephone_number": "678-386-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062478",
            "telephone_number": "813-251-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEMP",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16104",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018911800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.