Heather Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2685 Leeds Ave
North Charleston, SC 29405-6861

Phone

(843) 529-3130

NPI assigned

Oct 10, 2018

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 identifiers 1

Other names 1

• Heather Kelly-Welch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1972078582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WINNOWING WAY UNIT 416",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667527",
            "telephone_number": "860-919-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 LEEDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056861",
            "telephone_number": "843-529-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6554",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KELLY-WELCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Nye Kaywood
• Margaret Wilkes Keating, MS, LCGC
• Robert Jason Keene, D.P.T.
• Kelly Ann Kelleher, COTA
• Ayoe Alexa Kelly, DPT, PT
• Shawn Kelly, PTA
• Stephanie Albers Kelly, R.N.
• Marissa Kemp, DNP, CPNP-PC
• Kelli Kennedy, LPC
• Marion Mance Kenney, O.D.

• Speech-Language Pathologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.