KELLY DAVIS


Address: 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357
Phone: 9035259130

KELLY DAVIS (NPI# 1427453810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427453810
Entity Type Individual
Full Name KELLY DAVIS
Credential M.ED.CCC-SLP
Practice Address 4801 Troup Hwy Ste 800
Tyler
TX 75703-2357
Practice Telephone 9035259130
Practice Fax Number 9035259156
Mailing Telephone 9035259130
Mailing Fax Number 9035259156
Enumeration Date 2014-10-28
Last Update Date 2014-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 16356 TX Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 0315791 05

Other Providers KELLY DAVIS

NPI Name Taxonomy Address Enumeration
1669081089 Kelly Davis Dental Hygienist 741 Crystal Ln, Strasburg, VA 22657-2373 2020-07-31
1699270637 Kelly Elise Davis Student in an Organized Health Care Education/Training Program 13001 E. 17th Pl., Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 2018-03-29
1659820074 Kelly Kathleen Davis Nurse Practitioner 410 Lockerman St, Denton, MD 21629-1048 2016-09-27
1891243135 Kelly Ann Davis Nurse Anesthetist, Certified Registered 19446 Parker St, Livonia, MI 48152-1579 2016-09-15
1881049120 Kelly Ann Davis Obstetrics & Gynecology 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 2016-04-24
1144611336 Kelly Davis Psychologist 9525 S 93rd East Ave, Tulsa, OK 74133-6160 2015-02-10
1346501202 Kelly Lynn Davis Contractor 18247 W Running Springs Rd, Park Hill, OK 74451-2017 2012-06-06
1518251826 Kelly Megan Davis Developmental Therapist 10025 Hillview Dr Apt 28, Pensacola, FL 32514-5744 2011-06-03
1710271168 Kelly Denise Davis Developmental Therapist 311 Heritage Dr, Mayfield, KY 42066-3432 2011-06-02
1386952307 Kelly Davis Speech-Language Pathologist 2611 S Lees Summit Rd, Independence, MO 64055 2010-09-24

Office Location

Street Address 4801 TROUP HWY STE 800
City TYLER
State TX
Zip Code 75703-2357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043526601 Ashlynn Kennard Occupational Therapy Assistant 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357 2010-08-20
1710324025 Pediatric Therapeas Pllc Physical Therapist 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357 2013-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
Find all providers in zip 75703

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033733399 Kathryn Sue Campbell Speech-Language Pathologist 1600 Rice Rd Apt 1421, Tyler, TX 75703-3309 2020-06-02
1770117848 Rebecca C Taylor Speech-Language Pathologist 5619 Bostick Dr, Tyler, TX 75707-2022 2020-02-27
1083261952 Speech Swallowing and Neurological Rehabilitation Pllc Speech-Language Pathologist 117 Alpine Dr, Tyler, TX 75701-7002 2019-08-24
1356909519 Kaylene Rose Mesecher Speech-Language Pathologist 2051 W Cumberland Rd Apt 607, Tyler, TX 75703-7852 2019-06-03
1831679729 Jennifer Christine Zapata Speech-Language Pathologist 17521 Highway 69 S Ste 120, Tyler, TX 75703-5596 2018-08-20
1821578402 Morgan Beckmon Speech-Language Pathologist 2801 Calloway Rd Apt 912, Tyler, TX 75707-1558 2018-08-14
1528556131 Kimberly Marcum Speech-Language Pathologist 921 Shiloh Rd # C120t, Tyler, TX 75703-1431 2018-04-29
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1982132981 Whittle Services LLC Speech-Language Pathologist 1609 Southpoint Dr, Tyler, TX 75701-4548 2017-06-02
1609239995 Ebbonye Whittle Speech-Language Pathologist 100 E. Ferguson, Suite 1204, Tyler, TX 75701 2016-04-04
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

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Dataset Information

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.

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