Individual provider Active NPI

Kelli Dunn, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1942503065
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4010 Issued in NM
Practice address
5601 Wyoming Blvd NE
Albuquerque, NM 87109-3145
Phone
(505) 250-9649
NPI assigned
Dec 10, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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 4010 NM Primary

Addresses

Primary practice location

5601 Wyoming Blvd NE
Albuquerque, NM 87109-3145

Mailing address

5601 Wyoming Blvd NE
Albuquerque, NM 87109-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121001537 NM Practitioner - Qualified Speech Language Pathologist 9335631951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zia Therapy and Pain Relief IncGroup PAC ID 9133562416, 7 clinicians
Prestige Rehab NM LLCGroup PAC ID 4082154943, 3 clinicians

Practice addresses (Care Compare)

1520 Deborah Rd SE
Suite K
Rio Rancho, NM 87124-1030
Phone (978) 618-7500

8206 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-1738
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4010NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab NM LLC Speech-Language Pathologist CurrentSince Nov 1, 2025 Accepting new patients

Locations

8206 Louisiana Blvd NE
Ste A
Albuquerque, NM 87113
Phone (505) 554-6488

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1942503065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093145",
            "telephone_number": "505-250-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KELLI",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.