Kelly Leigh Ipock, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3192 Issued in NC

Practice address

180 Brewster Blvd.
Camp Lejeune, NC 28547

Phone

(910) 449-1100

Fax

(910) 450-4377

NPI assigned

Nov 19, 2008

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)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Carolina Therapy Services Inc

  • Speech-Language Pathologist
  • Dunn, NC
  • NPI 1457332264
  NPD (past)
• Distinctive Home Care

  • Home Health Agency
  • Bowie, MD
  • NPI 1689109548
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1669627667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "910-892-0027",
            "fax_number": "910-892-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BREWSTER BLVD.",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-449-1100",
            "fax_number": "910-450-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPOCK",
        "first_name": "KELLY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Milo Hutchison
• Daniel Sun Ki Hwang, D.O.
• Hee Young Hwang
• James T Hyland
• Intrepid Spirit Concussion Recovery Center
• Randall Mark Ippolito, CRNA
• Thomasena Maxwell Irving, RPH
• Cameron James Isaac, DMD
• Luke A Isaacs, SOIDC
• Yvette Iskander

• Speech-Language Pathologist in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.