Kelly Jenelle Whelan, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-452 Issued in WY

Practice address

2546 E 2ND St
Building #500
Casper, WY 82609-2062

Phone

(307) 577-5204

Fax

(307) 577-5212

NPI assigned

Oct 3, 2012

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

Enrolled in WY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Caring Edge Op LLC

  • Clinic/Center
  • Eagle, ID
  • NPI 1700399359

  WY

  Medicare reassignment
• Rocky Mountain Therapy LLC

  • Physical Therapist
  • Casper, WY
  • NPI 1265493902

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1922350776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 N COLLEGE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095456",
            "telephone_number": "307-414-8394",
            "fax_number": "307-316-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST",
            "address_2": "BUILDING #500",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-577-5204",
            "fax_number": "307-577-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "KELLY",
        "middle_name": "JENELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lewis Wetzel Jr., D.D.S.
• David B Wheeler, MD PHD
• Frank R Wheeler, MD
• Gretchen Elaine Wheeler
• Kody James Wheeler, DNP, APRN-CNP, FNP-C
• Amy Bess Whinnery, PA-C
• Amanda Whisler, CSW
• Kate Whitaker, APRN-BC
• Trisha Bryn Whitcomb, MPT
• White Poppy LLC

• Speech-Language Pathologist in Casper, WY
• Providers in Casper, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.