Amanda Weathers Kelly, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2214 Issued in AL

Practice address

120 Oslo Cir
Birmingham, AL 35211-5965

Phone

(205) 944-3980

Fax

(205) 944-3990

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1811009426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20880 SHARON DR",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351111332",
            "telephone_number": "205-218-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OSLO CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352115965",
            "telephone_number": "205-944-3980",
            "fax_number": "205-944-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AMANDA",
        "middle_name": "WEATHERS",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "51525706",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890012710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Kelley
• Scott T Kelley, M.D.
• Thomas M Kelley, R.N.
• Tonisha Mechelle Kelley, FNP-C
• Weddington Bishop Kelley, MD
• Arthur G Kelly, MD
• Christopher L Kelly, M.D.
• Courtney Parker Kelly
• David R Kelly, MD
• Elisabeth Nancy Kelly, RBT

• Speech-Language Pathologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.