MRS. KELLY A GORDON (NPI# 1821376070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821376070 |
| Entity Type | Individual |
| Full Name | MRS. KELLY A GORDON |
| Credential | CCC/SLP |
| Practice Address |
42 Huskie Ln Malone NY 12953-2451 |
| Mailing Address |
Po Box 69 Burke NY 12917-0069 |
| Practice Telephone | 5184837800 |
| Mailing Telephone | 5184836231 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0105881 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446505 | Kelly Gordon | Psychiatry & Neurology | 13001 E. 17th Place, Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2014-04-02 |
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1073762704 | Kelly Veronica Gordon | Social Worker | 18947 John J Williams Hwy Unit 212, Rehoboth Beach, DE 19971-4476 | 2008-09-18 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1285109199 | Kelly Suzanne Gordon | Occupational Therapist | 1101 W University Dr, Rochester, MI 48307-1863 | 2018-10-06 |
| 1598293227 | Kelly Gordon | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2017-05-25 |
| 1982148912 | Kelly Gordon | Social Worker | 333 9th St, Atlantic Beach, FL 32233-5437 | 2016-12-09 |
| 1003217514 | Kelly Gordon | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2014-09-16 |
| 1891022182 | Kelly Kathleen Gordon | Nurse Practitioner | 75 Nw Dogwood St, Suite B, Issaquah, WA 98027-3210 | 2009-11-08 |
| 1063541829 | Kelly Lynn Gordon | Speech-Language Pathologist | 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710-4000 | 2007-03-05 |
| Street Address |
42 HUSKIE LN |
| City | MALONE |
| State | NY |
| Zip Code | 12953-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699824003 | Malone Central School District | Local Education Agency (LEA) | 42 Huskie Ln, Malone, NY 12953-2451 | 2007-01-09 |
| 1992093496 | Joann Langdon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| 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 |
|---|---|---|---|---|
| 1700209392 | Kama Seal | Speech-Language Pathologist | 182 Elm St, Malone, NY 12953-1520 | 2014-02-03 |
| 1770837387 | Kristen Wright Arnette | Speech-Language Pathologist | 5374 10th St, Malone, FL 32445-3429 | 2012-11-04 |
| 1396031746 | Caryl M Tierney | Speech-Language Pathologist | 44 Trudell Rd, Malone, NY 12953-4318 | 2011-06-23 |
| 1932409851 | Mary Theresa Hart | Speech-Language Pathologist | 760 County Route 41, Malone, NY 12953-3315 | 2010-10-26 |
| 1912217217 | Pamela Jean Collins | Speech-Language Pathologist | 42 Huskie Lane, Malone, NY 12953 | 2010-10-20 |
| 1851600910 | Kathleen Perras | Speech-Language Pathologist | 72 Huskie Ln., Malone, NY 12953 | 2010-10-06 |
| 1083254767 | Aimee Fleury | Speech-Language Pathologist | 125 Catherine St, Malone, NY 12953-2343 | 2020-01-10 |
| 1992093496 | Joann Langdon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-18 |
| 1972811719 | Robin Dupuis | Speech-Language Pathologist | 183 Webster St, Davis Elementary School, Malone, NY 12953-2226 | 2010-09-15 |
| 1265749113 | Kerri Lynn Perry | Speech-Language Pathologist | 183 Webster St, Malone, NY 12953-2226 | 2010-09-13 |
| Find all providers in MALONE | ||||
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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.