Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720164585 Individual Practitioner Female Practitioner

Kelly D Beckner , MS CCC-SLP

Speech-Language Pathologist • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Kelly Beckner, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Roanoke, VA. Practice services are available at 1215 CORPORATE CIR SW STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1215 Corporate Cir Sw Ste 201

Roanoke, VA 240181400

Telephone 5403127066
Fax 5403900195
Associated Practice Facility / Clinic
🏢 Speech By Kelly Facility NPI 1720697550

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
163 Specialists

Practicing in Roanoke, VA (4974 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: 2024-04-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202004349

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
004978331 (VA)
Commercial Insurance / Payer ID Aetna
7088632 (VA)
Commercial Insurance / Payer ID Mamsi
240052 (VA)
Commercial Insurance / Payer ID Anthem
195182 (VA)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 15, 2024

Registered at 1215 CORPORATE CIR SW STE 201, ROANOKE, VA 240181400 (Tel: 5403127066)

📍
Updated Business Mailing Address April 15, 2024

Registered at 1215 CORPORATE CIR SW STE 201, ROANOKE, VA 240181400 (Tel: 5403127066)

📍
Updated Practice Location July 24, 2020

Registered at 4903 STARKEY RD STE 200D, ROANOKE, VA 240188525 (Tel: 5405242058)

📍
Updated Business Mailing Address July 24, 2020

Registered at 4903 STARKEY RD STE 200D, ROANOKE, VA 240188525 (Tel: 5405242058)

📍
Updated Practice Location February 25, 2019

Registered at 3214 ELECTRIC RD STE 304, ROANOKE, VA 240186443 (Tel: 5403127066)

📍
Updated Business Mailing Address February 25, 2019

Registered at 3214 ELECTRIC RD STE 304, ROANOKE, VA 240186443 (Tel: 5403127066)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2030 COLONIAL AVE SW, ROANOKE, VA 240153204 (Tel: 5403430165)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2030 COLONIAL AVE SW, ROANOKE, VA 240153204 (Tel: 5403430165)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLY BECKNER, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2202004349 in VA)

🟢
Initial NPI Registration & Enumeration October 27, 2006

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: 1720164585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: April 15, 2024
Sole Proprietor: No

Mailing Address

1215 Corporate Cir Sw Ste 201

Roanoke, VA 240181400

Phone: 5403127066

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.