Organization Active NPI

Speech by Kelly

  • Speech-Language Pathologist
  • Roanoke, VA
National Provider Identifier
1720697550
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH BY KELLY
Practice address
4903 Starkey Rd Ste 200D
Roanoke, VA 24018-8525
Phone
(540) 524-2058
NPI assigned
Jul 28, 2020
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Kelly BecknerNPI 1720164585
Title
Owner
Phone
(540) 524-2058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4903 Starkey Rd Ste 200D
Roanoke, VA 24018-8525

Mailing address

1215 Corporate Cir SW Ste 201
Roanoke, VA 24018-1400
Phone (540) 312-7066

National Provider Directory

National Provider Directory

Locations

4903 Starkey Rd
Ste 200D
Roanoke, VA 24018
Phone (540) 524-2058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1720697550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CORPORATE CIR SW STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181400",
            "telephone_number": "540-312-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD STE 200D",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188525",
            "telephone_number": "540-524-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BY KELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-524-2058"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.