Kelly Leah Vanlandingham, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8115 Issued in AZ

Practice address

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141

Phone

(480) 502-7726

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

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.

• Cactus Pediatric Therapy, Inc.

  • Specialist
  • Phoenix, AZ
  • NPI 1982764783
  NPD (past)
• Sunshine Speech-Language Therapy Services, Inc.

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1861563223
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1801085543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E HEARTWOOD LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222986",
            "telephone_number": "602-615-1986",
            "fax_number": "480-704-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-502-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 E Chandler Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850484601",
            "country_code": "US",
            "telephone_number": "480-704-5954",
            "fax_number": "480-704-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25615 N Ranch Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852552141",
            "country_code": "US",
            "telephone_number": "480-502-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLANDINGHAM",
        "first_name": "KELLY",
        "middle_name": "LEAH",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4253",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Vanderwerf, MOTR/L
• Alexander John Vandetta, MD
• Hunter Bennett Vandolah, MD
• Mark E Vanduker
• Vangard Medical Inc
• Jordyn Vannini
• Susan Louise Vannucci, D.O.
• Aimen Vanood, MD
• Christian D Vanos, P.T.
• Penny A Vanpatten, PA-C

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.