Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801142765 Individual Practitioner Female Practitioner

Kelly Blackwell , MA, CCC-SLP

Speech-Language Pathologist • Augusta, ME

Professional Overview & Biography Verified Profile Summary

Kelly Blackwell, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Augusta, ME. Practice services are available at 126 WESTERN AVE # 123 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Western Ave # 123

Augusta, ME 043307249

Telephone 2078301380

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Augusta, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Augusta, ME (1187 Statewide)

Telehealth Adoption Rate
0.0% 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: 2022-01-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME SP2350

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License ME ST2194

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 03, 2022

Registered at 126 WESTERN AVE # 123, AUGUSTA, ME 043307249 (Tel: 2078301380)

📍
Updated Business Mailing Address January 03, 2022

Registered at 126 WESTERN AVE # 123, AUGUSTA, ME 043307249 (Tel: 2078301380)

👤
Provider Name / Credentials Updated January 03, 2022

Recorded as KELLY BLACKWELL, MA, CCC-SLP

NPI Profile Active July 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2012

Registered at 155 KENNEDY MEMORIAL DR, WATERVILLE, ME 049015132 (Tel: 2078725775)

📍
Updated Business Mailing Address July 30, 2012

Registered at 155 KENNEDY MEMORIAL DR, WATERVILLE, ME 049015132 (Tel: 2078725775)

👤
Provider Name / Credentials Updated July 30, 2012

Recorded as KELLY BLACKWELL, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2012

Speech-Language Pathologist (License #ST2194 in ME)

🟢
Initial NPI Registration & Enumeration July 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801142765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2012
Last Update: January 03, 2022
Sole Proprietor: Yes

Mailing Address

126 Western Ave # 123

Augusta, ME 043307249

Phone: 2078301380

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.