Kelly Ann Long

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

506 Issued in AR

Practice address

5710 S 66TH St
Cave Springs, AR 72718-8447

Phone

(479) 601-3537

NPI assigned

Jul 27, 2022

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Rogers, AR
  • NPI 1023684370

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1649906033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S 66TH ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727188447",
            "telephone_number": "479-601-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 S 66TH ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727188447",
            "telephone_number": "479-601-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Johnson
• Nicholas Ray Jones
• Danielle Khoury, DPT
• Sarah Elizabeth La Tour
• Mary Lee, MS, CCC-SLP
• McKenzie Katherine Lynch
• Main Street Endocrinology, PLLC (Main Street Medical Associates)
• Leah Ashley Maldonado
• Tammy Lynn Neil, PH.D.
• Ashley Elizabeth Nixon, MS, CCC-SLP

• Speech-Language Pathologist in Cave Springs, AR
• Providers in Cave Springs, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.