Individual provider Active NPI

Kelly A.V. Briggs, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fredonia, WI
National Provider Identifier
1902034739
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3223-154 Issued in WI
Practice address
401 Highland Dr
Fredonia, WI 53021-9499
Phone
(262) 692-2464
NPI assigned
Jul 1, 2009
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 3223-154 WI Primary

Addresses

Primary practice location

401 Highland Dr
Fredonia, WI 53021-9499

Mailing address

401 Highland Dr
Fredonia, WI 53021-9499
Phone (262) 692-2464

Other practice location 1

2200 Hawthorn Hills Camp Rd
Saukville, WI 53080-1260
Phone (262) 281-0145

Other identifiers 1

IdentifierTypeStateIssuer
12118517OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION

Other names 1

  • Kelly A. Vant Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
3223-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Support Services Inc Past Accepting new patients
Northern Ozaukee School District 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1902034739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND DR",
            "city": "FREDONIA",
            "state": "WI",
            "postal_code": "530219499",
            "telephone_number": "262-692-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND DR",
            "city": "FREDONIA",
            "state": "WI",
            "postal_code": "530219499",
            "telephone_number": "262-692-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Hawthorn Hills Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Saukville",
            "state": "WI",
            "postal_code": "530801260",
            "country_code": "US",
            "telephone_number": "262-281-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "KELLY",
        "middle_name": "A.V.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3223-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "12118517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "VANT",
            "middle_name": "A.",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fredonia, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.