Active NPI
Casey Patricia Kelley, TSHH, SLP/L
- Speech-Language Pathologist
- Hamburg, NY
National Provider Identifier
1912154287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011931-1
- Practice address
- 5305 Abbott Rd
Hamburg, NY 14075-1625 - Phone
- (716) 646-3240
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 011931-1 | NY | Primary |
Addresses
Primary practice location
5305 Abbott Rd
Hamburg, NY 14075-1625
Mailing address
5305 Abbott Rd
Hamburg, NY 14075-1625
Phone (716) 646-3240
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 |
|---|---|---|---|
| 011931-1 | NY | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1912154287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 ABBOTT RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751625",
"telephone_number": "716-646-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 ABBOTT RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751625",
"telephone_number": "716-646-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "CASEY",
"middle_name": "PATRICIA",
"credential": "TSHH, SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011931-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.