Breanna Lynn Kelly, M.S. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

121423 Issued in TX

Practice address

8222 N Belt Line Rd Ste 175
Irving, TX 75063-2276

Phone

(972) 241-9334

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pate Rehabilitation Endeavors, LLC

  • Rehabilitation Clinic/Center
  • Irving, TX
  • NPI 1083738892
  NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1871364372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 PARKER BLVD APT 4304",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800917",
            "telephone_number": "309-826-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 N BELT LINE RD STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632276",
            "telephone_number": "972-241-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BREANNA",
        "middle_name": "LYNN",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keathly and Thomas LLC
• Keilson and Associates MD PA
• Keith D Snitker DDS PA (Esters Family Dental)
• Antonya Kelley, DC
• Amanda Kelly, CRNA
• Christy Ann Kelly
• Peter J Kelsall, MD
• Kelsom Clinic PA
• Chloe Kemp
• Amanda Paige Kendig, LCSW

• Speech-Language Pathologist in Irving, TX
• Providers in Irving, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.