Individual provider Active NPI

Kate Maureen Kelleher, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Cullowhee, NC
National Provider Identifier
1881890853
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7752 Issued in NC
Practice address
1 University Dr
Cullowhee, NC 28723-9646
Phone
(828) 227-7251
NPI assigned
Jun 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 7752 NC Primary

Addresses

Primary practice location

1 University Dr
Cullowhee, NC 28723-9646

Mailing address

536 Old Howell Rd
Greenville, SC 29615-1969
Phone (828) 357-2016

Other practice location 1

3971 Little Savannah Rd
Room 132
Cullowhee, NC 28723-9688
Phone (828) 227-7251

Other identifiers 3

IdentifierTypeStateIssuer
14087706MedicaidNC
561850178OtherNCFED TAX ID
561850178OtherNCAMA

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7752NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881890853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "828-357-2016",
            "fax_number": "828-357-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY DR",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287239646",
            "telephone_number": "828-227-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3971 Little Savannah Rd",
            "address_2": "Room 132",
            "address_purpose": "LOCATION",
            "city": "Cullowhee",
            "state": "NC",
            "postal_code": "287239688",
            "country_code": "US",
            "telephone_number": "828-227-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "KATE",
        "middle_name": "MAUREEN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14087706",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "561850178",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA",
            "identifier": "561850178",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullowhee, NC

Sources for this page

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