Active NPI
Kelly Jeanne Powers, M.S. CCC-SLP
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1801977467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11835
- Practice address
- 4007 Waldenbrook Rd
Greensboro, NC 27407-7741 - Phone
- (336) 991-2422
- NPI assigned
- Oct 18, 2006
- 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 | 11835 | NC | Primary |
Addresses
Primary practice location
4007 Waldenbrook Rd
Greensboro, NC 27407-7741
Mailing address
4007 Waldenbrook Rd
Greensboro, NC 27407-7741
Phone (336) 991-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005537802 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11835 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1801977467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 WALDENBROOK RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077741",
"telephone_number": "336-991-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 WALDENBROOK RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077741",
"telephone_number": "336-991-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KELLY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005537802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.