Individual provider Active NPI

Kelly E Clyde, M.S.

  • Speech-Language Pathologist
  • Fairmont, WV
National Provider Identifier
1831467216
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1313 Issued in WV
Practice address
51 Southland Dr
Suite 2300
Fairmont, WV 26554-2244
Phone
(304) 363-3167
Fax
(304) 363-1725
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1313 WV Primary

Addresses

Primary practice location

51 Southland Dr
Suite 2300
Fairmont, WV 26554-2244

Mailing address

51 Middletown Rd Ste 102
White Hall, WV 26554-8177

Other practice location 1

51 Middletown Rd Ste 102
White Hall, WV 26554-8177
Phone (304) 534-8122

Other names 1

  • Kelly E Runion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy CorpGroup PAC ID 6800263955, 9 clinicians

Practice addresses (Care Compare)

51 Middletown Rd
Suite 102
Fairmont, WV 26554-8177
Phone (304) 534-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1313WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1831467216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MIDDLETOWN RD STE 102",
            "city": "WHITE HALL",
            "state": "WV",
            "postal_code": "265548177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR",
            "address_2": "SUITE 2300",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542244",
            "telephone_number": "304-363-3167",
            "fax_number": "304-363-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Middletown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "White Hall",
            "state": "WV",
            "postal_code": "265548177",
            "country_code": "US",
            "telephone_number": "304-534-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLYDE",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RUNION",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.