Active NPI
Kelly Ann Urban
- Speech-Language Pathologist
- Lansdale, PA
National Provider Identifier
1770844292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010851
- Practice address
- 100 W. Main Street
Suite 112
Lansdale, PA 19446 - Phone
- (215) 429-3692
- Fax
- (610) 436-3606
- NPI assigned
- May 31, 2012
- 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 | SL010851 | PA | Primary |
Addresses
Primary practice location
100 W. Main Street
Suite 112
Lansdale, PA 19446
Mailing address
513 Loch Alsh Avenue
Ambler, PA 19002
Phone (215) 429-3692
Other names 1
- Kelly Ann Adgie
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 |
|---|---|---|---|
| SL010851 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1770844292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 LOCH ALSH AVENUE",
"city": "AMBLER",
"state": "PA",
"postal_code": "19002",
"telephone_number": "215-429-3692",
"fax_number": "610-436-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W. MAIN STREET",
"address_2": "SUITE 112",
"city": "LANSDALE",
"state": "PA",
"postal_code": "19446",
"telephone_number": "215-429-3692",
"fax_number": "610-436-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "ADGIE",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.