Kelly Alissa Badman, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9772 Issued in OH

Practice address

11254 Peach Glen Ave NW
Uniontown, OH 44685-8606

Phone

(614) 506-1576

NPI assigned

Jan 28, 2018

Last updated

Jan 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1659879351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 PEACH GLEN AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858606",
            "telephone_number": "614-506-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 PEACH GLEN AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858606",
            "telephone_number": "614-506-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADMAN",
        "first_name": "KELLY",
        "middle_name": "ALISSA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Ausel, AT, PTA
• Jalen A Avila
• Shadi Awadallah, PHARMD, RPH
• Kenneth H Babak
• Jamie Lynn Babbo, RN
• Barbara Jean Bailey, MD
• Kyle Bailey, OTD, OTR/L, CHT
• Chase Ethan Baker
• Samantha Barnes, LPCC
• Sharon Lyn Barton, RN WCC

• Speech-Language Pathologist in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.