Kelly Isaly-Johns, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

498 Issued in AK

Practice address

4600 Business Park Blvd # D24
Anchorage, AK 99503-7142

Phone

(907) 561-1478

Fax

(888) 552-1720

NPI assigned

Jun 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Alaska Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1730472168
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1760895072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478",
            "fax_number": "888-552-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478",
            "fax_number": "888-552-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISALY-JOHNS",
        "first_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "9691",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1573524",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdulkarim Isa
• Scott Isaak
• Kristi Michelle Isaeff, M.A., M.S.W.
• Kevin Isakson, MD
• Vili Isaloi
• Don Isbell, MHS
• Kendra Isbell, PA-C
• Debra A Isel, ANP
• Karrianna L Iseminger, OTD, OTR/L, CHT
• Melodie Isgro, MD

• All providers in Anchorage, AK
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.