Active NPI
Kelly Graham Zuluaga, M.S., CCC-SLP/L
- Speech-Language Pathologist
- Macungie, PA
National Provider Identifier
1710381074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010423
- Practice address
- 4674 Berwyn Lane
Macungie, PA 18062 - Phone
- (610) 909-4051
- Fax
- (610) 465-9692
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL010423 | PA | Primary |
Addresses
Primary practice location
4674 Berwyn Lane
Macungie, PA 18062
Mailing address
5961 Saratoga Lane
Coopersburg, PA 18036
Phone (908) 763-2735
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL010423 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1710381074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5961 SARATOGA LANE",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "18036",
"telephone_number": "908-763-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4674 BERWYN LANE",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "18062",
"telephone_number": "610-909-4051",
"fax_number": "610-465-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZULUAGA",
"first_name": "KELLY",
"middle_name": "GRAHAM",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macungie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.