Individual provider Active NPI

Kelly Hough Ingalise, MS, CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1992115281
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10792 Issued in NC
Practice address
4 Buccaneer CT
Greensboro, NC 27455-1191
Phone
(412) 215-4430
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 10792 NC Primary

Addresses

Primary practice location

4 Buccaneer CT
Greensboro, NC 27455-1191

Mailing address

4 Buccaneer CT
Greensboro, NC 27455-1191
Phone (412) 215-4430

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1992115281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BUCCANEER CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551191",
            "telephone_number": "412-215-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BUCCANEER CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551191",
            "telephone_number": "412-215-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALISE",
        "first_name": "KELLY",
        "middle_name": "HOUGH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.