Kelly Ann Slack, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ4420 Issued in FL

Practice address

5165 Canal St
Milton, FL 32570-2256

Phone

(850) 623-4054

Fax

(850) 623-4987

NPI assigned

Nov 25, 2007

Sex

Female

Sole proprietor

No

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 Science

State licenses

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195948800000",
    "number": "1679754279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 CANAL ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702256",
            "telephone_number": "850-623-4054",
            "fax_number": "850-623-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 CANAL ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702256",
            "telephone_number": "850-623-4054",
            "fax_number": "850-623-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-25",
        "last_updated": "2007-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamekia Sigler
• Shanna Simmonds, LMT
• Brian C Simmons, HAS
• Kenneth Lee Simmons Jr.
• Jared Lamar Skelton, PHARMD
• Danielle Sledge
• Valeria Marie Slevin, LCSW
• Adam Smith, FNP-C
• Brittany A.G. Smith, PA
• Catrina June Smith, RBT

• Speech-Language Pathologist in Milton, FL
• Providers in Milton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2007; 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.