Kylie Atteberry, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012125 Issued in PA

Practice address

723 E Main St
Bradford, PA 16701-3242

Phone

(814) 362-4621

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1821490947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013242",
            "telephone_number": "814-362-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013242",
            "telephone_number": "814-362-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "KYLIE",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SL012125",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Anderson, LDN
• Tracy Lynn Andrus, PA-C
• Anesthetix of Bradford, LLC
• Cheryl A Antle, RN
• Apria Healthcare LLC
• Alicia Ann Austin, D.C.
• Kyle Steven Baker, PT DPT
• Robert Daniel Baker, PT, DSC, ECS
• Corinne Leigh Barnett, LPN
• Travis Aaron Bashline, MS CCC SLP

• Speech-Language Pathologist in Bradford, PA
• Providers in Bradford, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.