Active NPI
Elizabeth Kinney, SLP
- Speech-Language Pathologist
- Madison, MS
National Provider Identifier
1740638808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4190
- Practice address
- 105 Lexington Dr Ste H
Madison, MS 39110-6646 - Phone
- (601) 910-7300
- Fax
- (601) 910-7071
- NPI assigned
- May 31, 2016
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | S4190 | MS | Primary |
Addresses
Primary practice location
105 Lexington Dr Ste H
Madison, MS 39110-6646
Mailing address
105 Lexington Dr Ste H
Madison, MS 39110-6646
Phone (601) 910-7300
Other practice location 1
213 Allen Dr
Brandon, MS 39047-4617
Phone (601) 927-3795
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4190 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Rehabilitation Services, LLC | Past | Accepting new patients | |
| Healing Hands Rehabilitation Services, LLC | Past | Accepting new patients | |
| Little Chatterbox Speech-Language & Hearing Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1609691963
-
- Home Health Agency
- Brandon, MS
- NPI 1770868572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740638808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LEXINGTON DR STE H",
"city": "MADISON",
"state": "MS",
"postal_code": "391106646",
"telephone_number": "601-910-7300",
"fax_number": "601-910-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 LEXINGTON DR STE H",
"city": "MADISON",
"state": "MS",
"postal_code": "391106646",
"telephone_number": "601-910-7300",
"fax_number": "601-910-7071"
}
],
"practiceLocations": [
{
"address_1": "213 Allen Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "MS",
"postal_code": "390474617",
"country_code": "US",
"telephone_number": "601-927-3795",
"fax_number": "888-408-8272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEY",
"first_name": "ELIZABETH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.