MRS. KELLEY HENRY (NPI# 1659827236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659827236 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY HENRY |
| Credential | MS CCC-SLP |
| Practice Address |
2120 West Washington Street Springfield IL 62702 |
| Practice Telephone | 2177934880 |
| Mailing Telephone | 2177934880 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146008433 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257682 | Kelley Marie Henry | Chiropractor | 2600 Nw Vaughn St, Portland, OR 97210-2224 | 2013-02-19 |
| 1194069609 | Kelley Veronica Henry | Licensed Practical Nurse | 2037 Utica Ave, Brooklyn, NY 11234 | 2012-11-21 |
| 1326346925 | Kelley Ann Henry | Massage Therapist | 2325 Central Ave, St Petersburg, FL 33713-8845 | 2011-03-05 |
| 1336476498 | Kelley O Henry | Registered Nurse | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-11-11 |
| 1336372960 | Kelley K Henry | Clinical Neuropsychologist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2009-08-31 |
| Street Address |
2120 WEST WASHINGTON STREET |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
| 1871107003 | Paige Marie Steer | Speech-Language Pathologist | 531 W Harding Rd, Springfield, OH 45504-1708 | 2020-09-04 |
| 1578173241 | Kelley Hickman | Speech-Language Pathologist | 897 S 55th Pl, Springfield, OR 97478-6978 | 2020-08-06 |
| 1639792740 | Lindsay Anne Douglas | Speech-Language Pathologist | 3050 S National Ave Ste 106, Springfield, MO 65804-4242 | 2020-05-22 |
| 1770106320 | Jeanette Spirides | Speech-Language Pathologist | 7811 Jansen Dr, Springfield, VA 22152-2423 | 2020-05-18 |
| 1346862505 | Elisabeth Amy Mlawski | Speech-Language Pathologist | 16 Elmwood Rd, Springfield, NJ 07081-2419 | 2020-05-11 |
| 1720623929 | Amber Dejianne | Speech-Language Pathologist | 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 | 2019-11-12 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1164071445 | Desiree Herring | Speech-Language Pathologist | 103 Runnymead Dr, Springfield, TN 37172-5730 | 2019-09-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.