KELLY LYNN RUSSO (NPI# 1073822409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073822409 |
| Entity Type | Individual |
| Full Name | KELLY LYNN RUSSO |
| Other Name | KELLY LYNN KRZYZANOWSKI |
| Practice Address |
51 St Johns Parkside Buffalo NY 14210-2515 |
| Mailing Address |
25 Leonard Drive Depew NY 14043-2558 |
| Practice Telephone | 7168289560 |
| Practice Fax Number | 7168289460 |
| Mailing Telephone | 7166859161 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467466656 | Kelly Sipe Russo | Internal Medicine | 1 Harry S Truman Pkwy, Ms 3102, Annapolis, MD 21401-7037 | 2006-07-27 |
| 1487218012 | Kelly Russo | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2800 | 2019-04-29 |
| 1326362815 | Kelly T Russo | Pharmacist | 11 E Main St, Marcellus, NY 13108-1224 | 2010-03-26 |
| 1770805830 | Kelly White Russo | Pharmacist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2010-02-17 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1326115841 | Kelly A Russo | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2006-11-29 |
| Street Address |
51 ST JOHNS PARKSIDE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14210-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891836326 | Sarah Dawn Gigante | Physical Therapist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2007-02-09 |
| 1255617262 | Karen A Flaig | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-10-24 |
| 1548544778 | Lena Costrino Militello | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-10-06 |
| 1710267463 | Joelle Amber Rivera | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-08-25 |
| 1114207800 | Meredith Abel | Psychologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-08-25 |
| 1346538675 | Shana Kirst | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-07-20 |
| 1104122654 | Kathryn S Wind | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-02-01 |
| 1154626851 | Tara Marie Aquino | Psychologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-01-11 |
| 1366746091 | Amy Marie Placta | Occupational Therapist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2011-01-10 |
| 1457653859 | Terrance Michael Barrett | Physical Therapist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764461 | Elijah J Ventura | Emergency Medical Technician, Basic | 71 Sage Ave, Upper, Buffalo, NY 14210 | 2017-07-31 |
| 1235401308 | Carolyn Krajewski | Licensed Practical Nurse | 49 Duerstein St., Buffalo, NY 14210 | 2012-02-03 |
| 1578884474 | Amanda Lee Holman | Physical Therapist | 51 St John's Parkside, Buffalo, NY 14210 | 2010-06-15 |
| 1205082906 | Elizabeth Stom | Physical Therapist | 51 St, John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2008-08-13 |
| 1215106919 | Colette E Kurzius | Speech-Language Pathologist | 51 St John Parkside, Buffalo, NY 14210 | 2008-02-27 |
| 1043497936 | Karen Marlene Hazel | Speech-Language Pathologist | 51 St. John's Parkside, Buffalo, NY 14210 | 2008-01-23 |
| 1922161322 | Mary Kathleen Betz | Physician Assistant | Landmark Health, 701 Seneca St Suite 646, Buffalo, NY 14210 | 2006-12-18 |
| 1184638538 | Keith Lewin Hosmer | Chiropractor | 154 Cazenovia Street, Buffalo, NY 14210 | 2006-07-28 |
| 1811925944 | Marcia Langa | Registered Nurse | 2040 Seneca Street, Buffalo, NY 14210 | 2006-06-29 |
| 1316443096 | Connect Medical, P.C. | General Practice | 701 Seneca St Ste 646c, Buffalo, NY 14210 | 2018-04-02 |
| Find all providers in zip 14210 | ||||
| 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 |
|---|---|---|---|---|
| 1649878430 | Jessica F Star | Speech-Language Pathologist | 158 Normal Ave, Buffalo, NY 14213-2518 | 2020-10-13 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1295393429 | Caitlin Mary Myszka | Speech-Language Pathologist | 40 Hazelwood Dr, Buffalo, NY 14228-2230 | 2019-06-03 |
| 1821579442 | Kara Marie Hendrickson | Speech-Language Pathologist | 300 Catlin St Ste 101, Buffalo, MN 55313-2035 | 2018-08-22 |
| 1942791819 | Gwendolyn Furmanek | Speech-Language Pathologist | Bloom Creative Arts and Therapy 3377 Lake Shore Rd, Buffalo, NY 14219 | 2018-05-25 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1760910681 | Gianna Nichole Polanski | Speech-Language Pathologist | 124 Elmwood Ave, Buffalo, NY 14201-1400 | 2017-05-24 |
| 1740713049 | Melanie Redeye | Speech-Language Pathologist | 34 Fruehauf Ave, Buffalo, NY 14226-3804 | 2017-04-04 |
| 1730592338 | Jerry Crowley | Speech-Language Pathologist | 229 Beard Ave, Buffalo, NY 14214-1707 | 2014-06-11 |
| 1295162386 | Kelly C Richardson | Speech-Language Pathologist | 3435 Main Street, 52 Biomedical Education Building, Ub Speech-language and Hearing Clinic, Buffalo, NY 14214-8016 | 2013-10-03 |
| Find all providers in BUFFALO | ||||
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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.