Active NPI
Heather Kelley
- Speech-Language Pathologist
- Kapolei, HI
National Provider Identifier
1861769259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1135
- Practice address
- 92-461 Makakilo Dr
Kapolei, HI 96707-1270 - Phone
- (808) 678-3814
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1135 | HI | Primary |
Addresses
Primary practice location
92-461 Makakilo Dr
Kapolei, HI 96707-1270
Mailing address
92-461 Makakilo Dr
Kapolei, HI 96707-1270
Phone (808) 678-3814
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135 | HI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapolei Early Intervention Program | Past | Accepting new patients | |
| Easter Seals Hawaii | 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.
-
- Early Intervention Provider Agency
- Mililani, HI
- NPI 1831433069
-
- Early Intervention Provider Agency
- Kapolei, HI
- NPI 1982973590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1861769259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-461 MAKAKILO DR",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071270",
"telephone_number": "808-678-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92-461 MAKAKILO DR",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071270",
"telephone_number": "808-678-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "1135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.