Individual provider Active NPI

Kelly Skillestad, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palm Beach, FL
National Provider Identifier
1679802912
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8254 Issued in FL
Practice address
3545 S Ocean Blvd
204
Palm Beach, FL 33480-5741
Phone
(561) 523-8689
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8254 FL Primary

Addresses

Primary practice location

3545 S Ocean Blvd
204
Palm Beach, FL 33480-5741

Mailing address

3545 S Ocean Blvd
204
Palm Beach, FL 33480-5741
Phone (561) 523-8689

Other names 1

  • Kelly Linkous 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8254FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1679802912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 S OCEAN BLVD",
            "address_2": "204",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805741",
            "telephone_number": "561-523-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S OCEAN BLVD",
            "address_2": "204",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805741",
            "telephone_number": "561-523-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLESTAD",
        "first_name": "KELLY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LINKOUS",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.