Kelly Patterson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15579 Issued in NC

Practice address

551 Kent St
Andrews, NC 28901-8088

Phone

(828) 321-3075

NPI assigned

Sep 14, 2022

Last updated

Sep 20, 2022By 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 3

Addresses

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1821710161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ARDMORE AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711760",
            "telephone_number": "609-790-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KENT ST",
            "city": "ANDREWS",
            "state": "NC",
            "postal_code": "289018088",
            "telephone_number": "828-321-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624413",
            "country_code": "US",
            "telephone_number": "856-508-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011954",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00977400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountainside Pediatric and Adolescent Clinic, PLLC
• Murphy Medical Center, Inc. (Erlanger Andrews Family Practice)
• Kevin M O'Brien, D.C.
• Donna Beth Omalley, COTA/L
• Teresa Ann Palmer
• Paytons Place
• Meagan E Pedersen, PT
• Personal Touch Assisted Living
• Personal Touch Assisted Living
• Phoenix Supported Living Inc

• Speech-Language Pathologist in Andrews, NC
• Providers in Andrews, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.