Shatika Nicole Kelley, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005966 Issued in VA

Practice address

5814 Quiet Pine Cir
Apt 202
Chester, VA 23831-7883

Phone

(757) 383-5226

NPI assigned

Jan 15, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326585600000",
    "number": "1649541103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 QUIET PINE CIR",
            "address_2": "APT 202",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317883",
            "telephone_number": "757-383-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 QUIET PINE CIR",
            "address_2": "APT 202",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317883",
            "telephone_number": "757-383-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SHATIKA",
        "middle_name": "NICOLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kaplan, D.D.S.
• Courtney Lynne Kauth, PA
• Brianne Kehoe, MOT, ORT/L
• Salimata Keita
• Janice Evelyn Keitz, NP
• Michael J Kelo, PT
• Susan Hess Kelo, M.S.P.T.
• Joseph S Kennedy, D.C.
• Mishaal Khan, PA-C
• Nadeem Anwar Khan, MD

• Speech-Language Pathologist in Chester, VA
• Providers in Chester, 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 Jan 15, 2012; 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.