KELLIE MARIE PFLUGH-REVELS (NPI# 1780045732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045732 |
| Entity Type | Individual |
| Full Name | KELLIE MARIE PFLUGH-REVELS |
| Other Name | KELLIE MARIE PFLUGH |
| Credential | CCC-SLP |
| Practice Address |
2900 S Hanover St Suite 102 Baltimore MD 21225-1232 |
| Mailing Address |
3001 S Hanover St Suite Nm106 Speech Therapy Baltimore MD 21225-1233 |
| Practice Telephone | 8555460855 |
| Practice Fax Number | 4103503821 |
| Mailing Telephone | 4103503506 |
| Mailing Fax Number | 4103542083 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 06759 | MD | Speech, Language and Hearing Service Providers |
| Street Address |
2900 S HANOVER ST SUITE 102 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21225-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659348738 | Leigh A Curl | Orthopaedic Surgery | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2006-03-07 |
| 1417426867 | Kelsey Ayne Boulier | Emergency Medicine | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2018-11-15 |
| 1740764331 | Taylor L Mannix | Clinic/Center | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2018-09-19 |
| 1114471976 | Chadd Baldwin | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2016-08-10 |
| 1144606641 | Rebecca Manning | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-08-06 |
| 1306223276 | National Rehabilitation Hospital, Inc | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-04-30 |
| 1114327574 | Greg Rosenberg | Physical Therapist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-09-03 |
| 1164832747 | Melissa Foard Read | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-05-05 |
| 1356769954 | Ryan Cisek | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-04-01 |
| 1518384718 | Megan Bapisteller | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
| Find all providers in zip 21225 | ||||
| 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 |
|---|---|---|---|---|
| 1497352496 | Kristine Helen Moore | Speech-Language Pathologist | 6300 Pinehurst Rd, Baltimore, MD 21212-2534 | 2020-10-04 |
| 1508473018 | Katherine Campagna | Speech-Language Pathologist | 2601 Tolley St, Baltimore, MD 21230-1534 | 2020-09-29 |
| 1629685656 | Cali Wilde | Speech-Language Pathologist | 111 W Heath St Unit 401, Baltimore, MD 21230-4457 | 2020-09-24 |
| 1003422890 | Rachel Weeks | Speech-Language Pathologist | 112 S Patterson Park Ave Apt 4, Baltimore, MD 21231-2114 | 2020-09-17 |
| 1285249508 | Alexandra Walker | Speech-Language Pathologist | 1300 Gorsuch Ave, Baltimore, MD 21218-3777 | 2020-09-14 |
| 1154936425 | Claire Elizabeth Fassett | Speech-Language Pathologist | 1624 Eutaw Pl, Baltimore, MD 21217-3724 | 2020-09-13 |
| 1356955371 | Gabriela Peixoto Pereira | Speech-Language Pathologist | 3801 Fallstaff Rd, Baltimore, MD 21215-1502 | 2020-09-08 |
| 1407467012 | Sarah Miriam Preiser | Speech-Language Pathologist | 2901 Smith Ave, Baltimore, MD 21208-4540 | 2020-08-17 |
| 1063020295 | Ashley Banini | Speech-Language Pathologist | 8220 Tawnmoore Rd, Baltimore, MD 21244-3049 | 2020-07-14 |
| 1275151664 | Katherine Ann Gallaher | Speech-Language Pathologist | 507 S East Ave, Baltimore, MD 21224-3914 | 2020-07-11 |
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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.