KELLY M ROBERTS (NPI# 1396768719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396768719 |
| Entity Type | Individual |
| Full Name | KELLY M ROBERTS |
| Credential | CCC-SLP |
| Practice Address |
119 Se Wilson Ave Bend OR 97702-1714 |
| Mailing Address |
550 W Frontage Rd Suite 2415 Northfield IL 60093-1202 |
| Practice Telephone | 5412500922 |
| Mailing Telephone | 8474415593 |
| Mailing Fax Number | 8474410734 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | CL00002898 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090534 | Kelly Roberts | Social Worker | 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 | 2017-08-23 |
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1861893075 | Kelly C. Roberts | Specialist/Technologist | 7676 Canberra Way, Riverside, CA 92508-6048 | 2014-09-07 |
| 1992024152 | Kelly Roberts | Psychologist | 5648 William Penn Hwy, Export, PA 15632 | 2010-05-26 |
| 1477706109 | Kelly S Roberts | Occupational Therapist | 25 Van Buren St, Albany, NY 12206-1222 | 2008-10-26 |
| 1508908617 | Kelly F Roberts | Social Worker | 704 North Hwy 64, Manteo, NC 27954 | 2007-02-13 |
| 1699382465 | Kelly Roberts | Student in an Organized Health Care Education/Training Program | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2020-09-25 |
| 1609410133 | Kelly Elizabeth Roberts | Speech-Language Pathologist | 52 3rd Ave, Brentwood, NY 11717-4651 | 2019-10-28 |
| 1538611934 | Kelly Roberts | Nurse Practitioner | 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 | 2016-11-01 |
| Street Address |
119 SE WILSON AVE |
| City | BEND |
| State | OR |
| Zip Code | 97702-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295983708 | Kristen Griffin | Occupational Therapist | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2008-09-09 |
| 1558580993 | Bd Bend IIi LLC | Skilled Nursing Facility | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1306197488 | Connect Hearing, Inc. | Audiologist | 932 Ne 3rd St, Suite 2, Bend, OR 97701-4650 | 2012-09-28 |
| 1669745485 | Ha-sheng Li-korotky | Audiologist | 2205 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2012-02-10 |
| 1720223753 | Janet Lee Kenyon | Audiologist | 1625 Ne 2nd St, Bend, OR 97701-4046 | 2008-12-04 |
| 1316008246 | Patrick James Vangroll | Audiologist | 2036 Ne Williamson Ct, Suite 200, Bend, OR 97701-3771 | 2006-12-13 |
| 1962411967 | Julia Hunt | Audiologist | 2698 Ne Courtney Dr Ste 100, Bend, OR 97701-7637 | 2006-08-07 |
| 1659385482 | Jeanette Van Kessel | Audiologist | 301 Ne Franklin Ave, Bend, OR 97701-4917 | 2006-07-28 |
| 1225488786 | Ian Odgear | Audiologist | 2205 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2016-06-15 |
| 1386011401 | Ryan Scott O'clair | Audiologist | 516 Sw 13th St, Suite 102, Bend, OR 97702-3206 | 2015-08-24 |
| 1558628669 | Mary Joyce Campos Woody | Audiologist | 2205 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2012-04-13 |
| Find all providers in BEND | ||||
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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.