Kelsey Marie McIntyre, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015284 Issued in PA

Practice address

4603 John Garry Dr Ste 10
Columbia, MO 65203-6834

Phone

(573) 777-8783

NPI assigned

Sep 20, 2017

Last updated

Aug 13, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1790294833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LINDEN WAY",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063238",
            "telephone_number": "267-981-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 JOHN GARRY DR STE 10",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036834",
            "telephone_number": "573-777-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189402216",
            "country_code": "US",
            "telephone_number": "215-486-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017033847",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Suzanne McHargue, O.D.
• Nick Jones McHargue
• Hailey Elease McHenry
• Alka Anne McIntosh, LCSW
• Misty Lynn McIntosh, PA
• Monica McKary, DDS
• Elizabeth McKee
• Sarah Elizabeth McKenzie, RBT
• Kelly J McKeon, DPT
• Teresa McKerrow

• Speech-Language Pathologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.