Storm E Kelso, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1609 Issued in ME

Practice address

32 Wolf Rd
Vassalboro, ME 04989-4231

Phone

(207) 299-5958

Fax

(207) 512-8318

NPI assigned

Jan 2, 2007

Last updated

Apr 7, 2009By 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

Other identifiers 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1679630255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOLF RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049894231",
            "telephone_number": "207-299-5958",
            "fax_number": "207-512-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WOLF RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049894231",
            "telephone_number": "207-299-5958",
            "fax_number": "207-512-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "STORM",
        "middle_name": "E",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432479600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Epifano, M.D.
• Kimberly B Glidden
• Tiffany Laura Jacobs-Millett, RD,LD,CLC
• James Leland Jacobs, PH.D.
• Laura Lynn Jowdry-Berthiaume, RDH
• Alexis Lachance, STUDENT
• Susan A Linscott, RN
• Madison Morneault
• Beth Morse
• Ramona L Patterson, LADC

• Speech-Language Pathologist in Vassalboro, ME
• Providers in Vassalboro, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.