KELLY PETERSON (NPI# 1982144366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982144366 |
| Entity Type | Individual |
| Full Name | KELLY PETERSON |
| Credential | M.S. CCC-SLP |
| Practice Address |
81 E Dillon Dr Titusville PA 16354-2402 |
| Mailing Address |
8796 Route 219 Brockway PA 15824-6010 |
| Practice Telephone | 8148272727 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL013217 | PA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 813221954 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450907 | Kelly Rose Peterson | Physical Therapist | 1190 Baker St Ste 105, Costa Mesa, CA 92626-4105 | 2016-11-23 |
| 1326437120 | Kelly Leigh Peterson | Nurse Practitioner | 2200 Childrens Way Monroe Carell Jr, Doctor's Office Tower, 7th Floor, Suite 7100, Nashville, TN 37232-0001 | 2015-01-16 |
| 1336424027 | Kelly Rae Peterson | Nurse Anesthetist, Certified Registered | 9803 Vagabond Ln N, Maple Grove, MN 55311-1364 | 2011-10-13 |
| 1235413758 | Kelly Suzanne Peterson | Naturopath | 638 Fulton St W Suite B, Grand Rapids, MI 49504 | 2011-10-03 |
| 1710016563 | Kelly Peterson | Counselor | 5240 Ne Elam Young Pkwy Ste 100, Hillsboro, OR 97124 | 2007-03-05 |
| 1558399261 | Kelly B Peterson | Dentist | 5100 Grove St, Ste B, Marysville, WA 98270-4492 | 2006-06-29 |
| 1639787872 | Kelly Peterson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-14 |
| 1255965208 | Kelly A Peterson | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-28 |
| 1639720014 | Kelly Ann Peterson | Counselor | 20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 | 2019-09-26 |
| 1164087730 | Kelly Peterson | Registered Nurse | 410 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-08 |
| Street Address |
81 E DILLON DR |
| City | TITUSVILLE |
| State | PA |
| Zip Code | 16354-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675381 | Ggnsc Titusville Lp | Skilled Nursing Facility | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2006-05-12 |
| 1326540642 | Maria Elaine Shreffler | Licensed Practical Nurse | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2018-03-02 |
| 1225579022 | Erika Lynn Eckstein | Occupational Therapist | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2017-03-13 |
| 1821544297 | Guardian Elder Care At Titusville LLC | Skilled Nursing Facility | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2016-08-26 |
| 1629439146 | Golden Living | Skilled Nursing Facility | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2016-03-10 |
| 1588024376 | Golden Living Titusville | Skilled Nursing Facility | 81 E Dillon Dr, Titusville, PA 16354-2402 | 2016-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
| 1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
| 1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1891800470 | James Leo Kristobak | Dentist | 129 N Franklin St, Titusville, PA 16354 | 2006-08-21 |
| 1770531295 | Kathleen D Etzel | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-05-05 |
| 1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
| Find all providers in zip 16354 | ||||
| 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 |
|---|---|---|---|---|
| 1992338792 | Speechwise Therapy LLC | Speech-Language Pathologist | 2000 Cheney Hwy Ste 103, #280, Titusville, FL 32780-6028 | 2020-02-20 |
| 1265854772 | Rene Thornton | Speech-Language Pathologist | 1817 N Carpenter Rd, Titusville, FL 32796-1157 | 2014-01-17 |
| 1174953939 | Patrick M. Craanen | Speech-Language Pathologist | 5594 River Oaks Dr, Titusville, FL 32780-7190 | 2013-11-14 |
| 1093151276 | Lauren Nicole Giambanco | Speech-Language Pathologist | 3565 Belle Largo Way, Titusville, FL 32780-5591 | 2013-05-15 |
| 1205176898 | Carie Kight Parlier | Speech-Language Pathologist | 1736 Country Club Dr, Titusville, FL 32780-5311 | 2013-02-19 |
| 1285905539 | Vivian Mashell Freeman | Speech-Language Pathologist | 1000 Scott St, Titusville, FL 32780-6166 | 2012-01-18 |
| 1861785628 | Megan Marie Doran | Speech-Language Pathologist | 845 Parkwood Ave, Titusville, FL 32796-2280 | 2011-05-26 |
| 1912223264 | Kera O'brien | Speech-Language Pathologist | 4035 Winter Ter, Titusville, FL 32780-6000 | 2010-04-12 |
| 1730323163 | Amy Beth Williams | Speech-Language Pathologist | 730 N Carpenter Rd, Titusville, FL 32796-2273 | 2009-04-29 |
| 1134369523 | Carla Mcmanimon | Speech-Language Pathologist | 4 Mckonkey Way, Titusville, NJ 08560-1119 | 2009-02-25 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 16354 |
Please comment or provide details below to improve the information on KELLY PETERSON.
| 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.