Kristen Alice Donnelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20211845-SP Issued in OH

Practice address

940 S Old 3C Rd
Sunbury, OH 43074-8903

Phone

(740) 965-3902

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1700556586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S OLD 3C RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748903",
            "telephone_number": "740-965-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S OLD 3C RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748903",
            "telephone_number": "740-965-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Harrison Street",
            "address_2": "Big Walnut Early Learning Center",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "43074",
            "country_code": "US",
            "telephone_number": "740-965-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "KRISTEN",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20211845-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Dickson
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• Kelly A Dotson
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• Anthony Eckert, DC
• Aaron Elliott Erndt, D.C
• Thomas W Erndt, D.C.

• Speech-Language Pathologist in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.