Individual provider Active NPI

Jolyn P Welsh

  • Speech-Language Pathologist
  • Holly Springs, NC
National Provider Identifier
1679072706
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13583 Issued in NC
Practice address
1140 Holly Springs Rd Ste 111
Holly Springs, NC 27540-9634
Phone
(919) 285-2157
NPI assigned
Feb 5, 2018
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 SL013265 PA
Speech-Language Pathologist 235Z00000X 13583 NC Primary

Addresses

Primary practice location

1140 Holly Springs Rd Ste 111
Holly Springs, NC 27540-9634

Mailing address

1140 Holly Springs Rd Ste 111
Holly Springs, NC 27540-9634
Phone (919) 285-2157

Other names 1

  • Jolyn Kisiday Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13583NCMDSpeech-Language Pathologist
SL013265PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Therapy Services, PLLC Speech-Language Pathologist CurrentSince Jul 2, 2023 Accepting new patients
JW Speech and Language, PLLC Speech-Language Pathologist Current Accepting new patients
JW Speech and Language, PLLC Speech-Language Pathologist Current Accepting new patients

Locations

1140 Holly Springs Rd
Ste 111
Holly Springs, NC 27540
Phone (919) 285-2157

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1679072706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD STE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409634",
            "telephone_number": "919-285-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD STE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409634",
            "telephone_number": "919-285-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "JOLYN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013265",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYN",
            "last_name": "KISIDAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.