Kelli Renee Hamblen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30004678 Issued in NC

Practice address

422 Huffman Mill Rd Ste 121
Burlington, NC 27215-5194

Phone

(336) 270-5304

NPI assigned

Jun 27, 2012

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelli Renee Summerfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Everyday Kids, LLC

  • Physical Therapy Clinic/Center
  • Burlington, NC
  • NPI 1861942013
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1902160609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BOONE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177912",
            "telephone_number": "843-315-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HUFFMAN MILL RD STE 121",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155194",
            "telephone_number": "336-270-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLEN",
        "first_name": "KELLI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "SUMMERFIELD",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Hall, COTA/L
• Magdalene Hall
• Taylor Hall
• Sheema Hallaji
• Matthew Andrew Halloran, FNP-C
• Hamilton Chiropactic PLLC
• Nicole Hamilton, D.C.
• Jacob Harold Hamlin
• Sheri Hammock
• Blake Maxwell Hampton, MD

• Speech-Language Pathologist in Burlington, NC
• Providers in Burlington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.