Jacquelyn Marie Kellogg, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008157 Issued in PA

Practice address

5465 Route 8
Gibsonia, PA 15044-9696

Phone

(724) 444-5333

Fax

(724) 444-5335

NPI assigned

Feb 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive Steps Therapy, LLC

  • Pediatric Physical Therapist
  • Gibsonia, PA
  • NPI 1316985013

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1740317551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 CHAUTAUQUA DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448228",
            "telephone_number": "724-816-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 ROUTE 8",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449696",
            "telephone_number": "724-444-5333",
            "fax_number": "724-444-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101360361",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Kampian, OTR/L
• Amanda Kapp
• Ditte K Karlovits, DO
• Julie Marie Kearney
• Patricia Kelley, PTA
• Jessica Rae Kennelly
• Lauren Elizabeth Kenney, OTR/L
• Jennifer West Ketler, LPC
• Kimmey Enterprises
• Douglas G Kimmey, D.C.

• Speech-Language Pathologist in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

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