Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285777565 Individual Practitioner Female Practitioner

Kristina Kelley , CCC-SLP

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Kristina Kelley, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 42002 E FOWLER AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42002 E Fowler Avenue

Tampa, FL 336202715

Telephone 8138218038
Fax 8139740483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA21795

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
119545200 (FL)
Commercial Insurance / Payer ID Bcbs
Y911W (FL)

Secondary Practice Locations

275 Beatty Dr

Belmont, NC 280122715

Phone: 7045123326

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ricardo Rendel , MD

Surgery - Surgical Critical Care

NPI 1003311861

Doctor of Medicine (M.D.)

Dr. Divya Kondapi , MBBS

Internal Medicine - Infectious Disease

NPI 1013361708

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Benjamin Renne , MD

Surgery - Trauma Surgery

NPI 1023437837

Doctor of Medicine (M.D.)

Morgan Zegers

Psychiatry & Neurology - Neurocritical Care

NPI 1023578333
NPI 1023759859

Doctor of Osteopathic Medicine (D.O.)

Jaden Mangra , SW

Social Worker

NPI 1023860244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 23, 2023

Registered at 42002 E FOWLER AVENUE, TAMPA, FL 336202715 (Tel: 8138218038)

📍
Updated Business Mailing Address October 23, 2023

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2023

Speech-Language Pathologist (License #SA21795 in FL)

NPI Profile Active November 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2008

Registered at 275 BEATTY DR, BELMONT, NC 280122715 (Tel: 7045123326)

📍
Updated Business Mailing Address November 04, 2008

Registered at 2237 ASTON MILL PL, CHARLOTTE, NC 282733955 (Tel: 2142075241)

👤
Provider Name / Credentials Updated November 04, 2008

Recorded as KRISTINA KELLEY, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2008

Speech-Language Pathologist (License #7053 in NC)

🟢
Initial NPI Registration & Enumeration February 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285777565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: October 23, 2023
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.