Kelsey Bullock, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

144.0134510 Issued in VT

Practice address

117 Temple St
Rutland, VT 05701-3530

Phone

(802) 786-1729

NPI assigned

Feb 28, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1922865740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BARLEY FIELD PL",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012927",
            "telephone_number": "802-683-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TEMPLE ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013530",
            "telephone_number": "802-786-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "KELSEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jay Bucksbaum, MD
• Frank P. Buggiani, DPM
• Arabella Bull-Stewart, DO
• Bruce D Bullock, MD
• Elizabeth G Bullock, P.T.
• Molly Anne Burke, BCBA
• Ryan Joseph Burke, DO
• Gregory John Burkland, N.D.
• Rachel Burnham, APRN
• Linda M Burrows

• All providers in Rutland, VT
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.