COURTNEY KELLY (NPI# 1134743768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134743768 |
| Entity Type | Individual |
| Full Name | COURTNEY KELLY |
| Credential | MS ED CCC-SLP |
| Practice Address |
5835 Harbour View Blvd Suffolk VA 23435-2601 |
| Practice Telephone | 7576686035 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202008208 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073903266 | Courtney Kelly | Behavioral Analyst | 7 E Creek Cir, Guilford, CT 06437-2821 | 2015-01-27 |
| 1215541438 | Courtney Kelly | Social Worker | 311 Albert Sabin Way, Cincinnati, OH 45229-2838 | 2020-09-04 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1457988594 | Courtney Alexandra Kelly | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2020-03-26 |
| 1407330913 | Courtney Parker Kelly | Dentist | 100 57th St S, Birmingham, AL 35212-2541 | 2018-09-20 |
| 1720595549 | Courtney E Kelly | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2018-01-02 |
| 1578966735 | Courtney Kelly | Nurse Anesthetist, Certified Registered | 4150 Nelson Rd Ste A4, Lake Charles, LA 70605-4169 | 2014-10-02 |
| 1295081933 | Courtney W Kelly | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2012-07-31 |
| 1831426725 | Courtney Lee Kelly | Nurse Practitioner | 8808 Balboa Ave, San Diego, CA 92123-1592 | 2009-11-12 |
| 1265628275 | Courtney Ann Kelly | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-09-24 |
| Street Address |
5835 HARBOUR VIEW BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864372 | James J Stark | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2657 | 2006-05-05 |
| 1033515101 | Riverside Hospital, Inc | General Acute Care Hospital | 5835 Harbour View Blvd, Suite C1, Suffolk, VA 23435-2601 | 2014-11-17 |
| 1477700193 | Rebecca J Gray | Physical Therapist | 5835 Harbour View Blvd, A, Suffolk, VA 23435-2601 | 2008-08-25 |
| 1770770281 | Aisha Salman Zaidi | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2601 | 2007-09-28 |
| 1134201817 | Susan M Lundgren | Nurse Practitioner | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2601 | 2006-10-20 |
| 1144252594 | James J Stark Md PC | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2657 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1124503461 | Jamie Tordoff | Speech-Language Pathologist | 4901 Bennetts Pasture Rd, Suffolk, VA 23435-1405 | 2018-10-02 |
| 1376950972 | Amanda Cobb | Speech-Language Pathologist | 420 Kilby Ave, Suffolk, VA 23434-5826 | 2014-07-15 |
| 1265874754 | Gwenevere Mcleod | Speech-Language Pathologist | 5102 Olympia Ct, Suffolk, VA 23435-3300 | 2013-07-24 |
| 1114184975 | Shaun Carole Barrett-vigilance | Speech-Language Pathologist | 6044 Mainsail Ln, Suffolk, VA 23435-3544 | 2008-05-20 |
| 1912172032 | Pamela W Saks | Speech-Language Pathologist | 3008 Newbury Ct, Suffolk, VA 23435-2556 | 2008-04-29 |
| 1245442813 | Dorothy M T Wise | Speech-Language Pathologist | 5835 Harbour View Blvd Ste A, Suffolk, VA 23435-2601 | 2007-05-04 |
| 1356953988 | Samantha Diane Blake | Speech-Language Pathologist | 100 N Main St, Suffolk, VA 23434-4529 | 2020-08-17 |
| 1396353488 | Derek G Newsome | Speech-Language Pathologist | 100 Anna Goode Way, Suffolk, VA 23434-9236 | 2020-07-15 |
| 1558994095 | Alice Harris | Speech-Language Pathologist | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2020-02-12 |
| 1154961126 | Joy Davis | Speech-Language Pathologist | 100 N Main St, Suffolk, VA 23434-4529 | 2020-01-08 |
| Find all providers in SUFFOLK | ||||
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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.