Individual provider Active NPI

Kathleen Keaggy Smith, MA CCC-SLP

  • Speech-Language Pathologist
  • Lisbon, OH
National Provider Identifier
1851795637
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-6187 Issued in OH
Practice address
38720 Saltwell Rd
Lisbon, OH 44432-8303
Phone
(330) 424-9591
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 SP-6187 OH Primary

Addresses

Primary practice location

38720 Saltwell Rd
Lisbon, OH 44432-8303

Mailing address

118 Court St
Columbiana, OH 44408-1135
Phone (330) 853-9834

Other names 1

  • Kathleen Keaggy Brown Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkeaggybrown@ccesc.k12.oh.us Direct

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-6187OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana County Educational Service Center Past Accepting new patients

Organizations & group practices 1

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1851795637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COURT ST",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081135",
            "telephone_number": "330-853-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38720 SALTWELL RD",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328303",
            "telephone_number": "330-424-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "KEAGGY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-6187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeaggybrown@ccesc.k12.oh.us",
            "affiliation": "N",
            "endpointDescription": "Work email CCESC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "38720 Saltwell Rd",
            "city": "Lisbon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444328303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BROWN",
            "middle_name": "KEAGGY",
            "credential": "MA CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.