KELLY QUINTANILLA (NPI# 1497244602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497244602 |
| Entity Type | Individual |
| Full Name | KELLY QUINTANILLA |
| Credential | MA, CCC-SLP |
| Practice Address |
21 Lucerne Ave Beaufort SC 29907-1343 |
| Practice Telephone | 8439408634 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5960 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
21 LUCERNE AVE |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1295767572 | Philip A Cusumano | Internal Medicine | 117 Sea Island Parkway, Beaufort, SC 29907 | 2006-07-07 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| Find all providers in zip 29907 | ||||
| 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 |
|---|---|---|---|---|
| 1265955397 | Ashlee Panzer | Speech-Language Pathologist | 14 Marshellen Dr Ste A, Beaufort, SC 29902-6900 | 2017-07-20 |
| 1134679251 | Kristin Shrestha | Speech-Language Pathologist | 221 Whelk Rd, Beaufort, SC 29906-6865 | 2016-10-12 |
| 1275082398 | Carolyn Mahon | Speech-Language Pathologist | 404 Meritta Ave, Beaufort, SC 29902-4325 | 2016-09-30 |
| 1689055584 | Sarah Elizabeth Sharp | Speech-Language Pathologist | 75 Riverchase Blvd, Apt 124, Beaufort, SC 29906-9082 | 2015-06-16 |
| 1952790347 | Sharon Carver Spare | Speech-Language Pathologist | 22 Battery Lane, Beaufort, SC 29902-6944 | 2015-01-22 |
| 1326463886 | Amy Thompson | Speech-Language Pathologist | 122 Green Winged Teal Dr N, Beaufort, SC 29907-1070 | 2014-02-20 |
| 1982944468 | Kevin Joseph Mcguire | Speech-Language Pathologist | 474 Broad River Blvd, Beaufort, SC 29906-9489 | 2013-02-21 |
| 1255600987 | Allison H Bessinger | Speech-Language Pathologist | 989 Ribaut Rd Ste 360, Beaufort, SC 29902-5427 | 2011-12-27 |
| 1821371733 | Michelle Hanna Hiers | Speech-Language Pathologist | 10a Marshellen Drive, Beaufort, SC 29935 | 2011-09-27 |
| 1063710275 | Carmalita S Lawton | Speech-Language Pathologist | 8 Johnson Landing Rd, Beaufort, SC 29907-1023 | 2011-03-11 |
| Find all providers in BEAUFORT | ||||
Please comment or provide details below to improve the information on KELLY QUINTANILLA.
| 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.