KELLY R MARCONYAK (NPI# 1073658506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073658506 |
| Entity Type | Individual |
| Full Name | KELLY R MARCONYAK |
| Credential | SLP |
| Practice Address |
10616 S Jacob Smart Blvd Ridgeland SC 29936-8477 |
| Mailing Address |
2222 Sullivan Trl Easton PA 18040-7958 |
| Practice Telephone | 8436458256 |
| Mailing Telephone | 6109912034 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
10616 S JACOB SMART BLVD |
| City | RIDGELAND |
| State | SC |
| Zip Code | 29936-8477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053735936 | Palmetto Speech and Language Services | Early Intervention Provider Agency | 10616 S Jacob Smart Blvd, Suite 103, Ridgeland, SC 29936-8477 | 2014-02-12 |
| 1376967687 | Brittany Patnaude | Speech-Language Pathologist | 10616 S Jacob Smart Blvd, Ridgeland, SC 29936-8477 | 2014-02-06 |
| 1962690479 | Andrea Francis Pangia | Speech-Language Pathologist | 10616 S Jacob Smart Blvd, Ridgeland, SC 29936-8477 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1568884385 | Kristen Reeves | Occupational Therapist | 10616 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2014-01-14 |
| 1942547138 | Jennifer Loadholt Moore | Social Worker | 204 North Railroad Avenue, Ridgeland, SC 29936 | 2013-01-09 |
| 1568719649 | Jennifer Lynn Coleman | Counselor | 203 N. Railroad Ave., Ridgeland, SC 29936 | 2012-08-08 |
| 1184945925 | Niles Edemeka Carter | Obstetrics & Gynecology | 1320 S. Ribaut Rd, Port Royal, SC 29936 | 2010-06-16 |
| 1831328459 | Jamie Singleton | Pediatrics | 1320 S. Ribaut Rd., Beaufort, SC 29936 | 2009-07-02 |
| 1487801668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 721 Okatie Hwy 170, Ridgeland, SC 29936 | 2008-08-19 |
| 1295912004 | Ridgeland Dialysis LLC | Clinic/Center | 112 Weathersbee St, Ridgeland, SC 29936 | 2008-01-23 |
| 1518143221 | Ridgeland Eye Associates LLC | Ophthalmology | 10668 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2008-01-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| Find all providers in zip 29936 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972163608 | Jillian Painter | Speech-Language Pathologist | 10942 N Jacob Smart Blvd, Ridgeland, SC 29936-2708 | 2019-06-14 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1063957934 | Say It Again | Speech-Language Pathologist | 1 Professional Pkwy, Suite 1b, Ridgeland, MS 39157-4236 | 2016-12-30 |
| 1952759656 | Alexandra Acheson | Speech-Language Pathologist | 118 Glenwater Dr, Apt 204, Ridgeland, SC 29936-3149 | 2016-06-03 |
| 1497178669 | Melissa Cahill | Speech-Language Pathologist | 10616 S Jacob Smart Blvd Ste 103, Ridgeland, SC 29936-8478 | 2014-01-24 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1487093035 | Amethyst Whitley | Speech-Language Pathologist | 711 Lake Harbour Dr, #1140, Ridgeland, MS 39157-4300 | 2013-06-17 |
| 1730452350 | Samiayah Latrice Williams Monroe | Speech-Language Pathologist | 750 Avignon Dr Ste 4, Ridgeland, MS 39157-5157 | 2012-02-13 |
| 1972803096 | Holly H. Magee | Speech-Language Pathologist | 115 Carlton Blvd, Ridgeland, MS 39157-9411 | 2010-10-22 |
| 1730705914 | Deborah Kristen Dale | Speech-Language Pathologist | 950 E County Line Rd Ste E, Ridgeland, MS 39157-1928 | 2020-06-23 |
| Find all providers in RIDGELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.