KELLY SANDERSON M.S., CCC-SLP
NPI 1184741290
Speech-Language Pathologist in East Tawas, MI

NPI Status: Active since March 23, 2007

Contact Information

1691 E US 23 STE 4
EAST TAWAS, MI
ZIP 48730
Phone: (989) 479-7550

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Speech-Language Pathologist

About KELLY SANDERSON

This page provides the complete NPI Profile along with additional information for Kelly Sanderson, a provider established in East Tawas, Michigan with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1184741290 assigned on March 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 7101001457 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1184741290
Provider Name: KELLY SANDERSON M.S., CCC-SLP
Gender: Female
Entity Type: Individual
Location Address: 1691 E US 23 STE 4 EAST TAWAS, MI 48730
Location Phone: (989) 479-7550
Mailing Address: 3781 S CRUZEN RD MIKADO, MI 48745
Mailing Phone: (989) 335-3942
Is Sole Proprietor?: No
Enumeration Date: 03-23-2007
Last Update Date: 07-25-2023
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Location Map

Secondary Locations

3781 S Cruzen Rd
Mikado, MI 48745
(989) 335-3942

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Speech-Language Pathologist
Taxonomy Code: 235Z00000X
Type: Speech, Language and Hearing Service Providers
License No.: 7101001457
License State: MI
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
100462120	MEDICAID (05)	IN

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	8	4	7	4	1	2	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	16	4	14	4	2	2	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 4 + 4 + 2 + 2 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1184741290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.