KELLY W. ROBERTSON (NPI# 1154570398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154570398 |
| Entity Type | Individual |
| Full Name | KELLY W. ROBERTSON |
| Practice Address |
4228 Grand Marais Rd Jennings LA 70546-8273 |
| Practice Telephone | 3372889418 |
| Mailing Telephone | 3372889418 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4897 | LA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1336488006 | Kelly Robertson | Specialist/Technologist | 4428 Glenn Rose St, Fairfax, VA 22032-1227 | 2013-01-31 |
| 1104148451 | Kelly Robertson | Speech-Language Pathologist | 188 Evergreen Rd, Lake Wylie, SC 29710-9001 | 2010-02-26 |
| 1942368246 | Kelly Jo Robertson | Optometrist | 3001 S 144th Street, Suite 2001, Omaha, NE 68144 | 2006-12-05 |
| 1487216875 | Kelly Elizabeth Robertson | Speech-Language Pathologist | 1229 County Farm Rd, Bedford, VA 24523-3131 | 2019-07-05 |
| 1194298448 | Kelly Christina Robertson | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-2635 | 2019-01-09 |
| 1326569955 | Kelly Robertson | Physician Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2017-07-05 |
| 1588013924 | Kelly Robertson | Music Therapist | 1331 118th Ave Se, 400, Bellevue, WA 98005-3890 | 2016-06-07 |
| 1568822500 | Kelly Robertson | Case Manager/Care Coordinator | 3999 Fort Campbell Blvd, Hopkinsville, KY 42240-4929 | 2016-03-03 |
| 1093141236 | Kelly Anne Robertson | Marriage & Family Therapist | 1519 S Gilbert St, Iowa City, IA 52240-4367 | 2013-09-19 |
| Street Address |
4228 GRAND MARAIS RD |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| 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 |
|---|---|---|---|---|
| 1790036721 | Sheila M Brown | Speech-Language Pathologist | 600 N Oak St, Jennings, OK 74038-5354 | 2012-10-01 |
| 1295064772 | Audrea M Scipper | Speech-Language Pathologist | 21337 Highway 26, Jennings, LA 70546-8534 | 2009-12-14 |
| 1063055804 | Jenna Penton | Speech-Language Pathologist | 2002 Johnson St Ste 100, Jennings, LA 70546-3640 | 2019-10-24 |
| 1679123921 | Brittany F Stanford | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-09-18 |
| 1386299873 | Jeanne L Lebeouf | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-08-02 |
| 1801441308 | Crystal Dene Berzas | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-08-02 |
| 1285288902 | Marlene M Shaver | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-07-31 |
| 1265086847 | Lauren N Hollier | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-07-31 |
| 1093277964 | Alison Moody | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-04-01 |
| 1063913010 | Madelyn Lanza | Speech-Language Pathologist | 2002 Johnson St Ste 100, Jennings, LA 70546-3640 | 2018-02-26 |
| Find all providers in JENNINGS | ||||
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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.