KELLAM BLACK S.L.P.
NPI 1255872024
Speech-Language Pathologist in Jacksonville, FL

Q: What is Kellam Black's NPI number?

The NPI number for Kellam Black is 1255872024. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Q: What is Kellam Black's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellam Black was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2017

14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 271-6575 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kellam Black S.l.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLAM BLACK S.L.P. (NPI 1255872024) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA8959) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1255872024

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLAM BLACKCredential: S.L.P.

Location Address14550 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2460

Mailing Address126 Glen Eagles CtPonte Vedra Beach, FL 32082-3613 · (904) 477-9351

Phone(904) 271-6575

Sole ProprietorNo

Enumeration DateMarch 13, 2017

✔ NPI 1255872024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA8959

Definition

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.

14550 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN KUDLAK

Registered Nurse (Critical Care Medicine)

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6000

MRS. RENEE FRANKLIN GOLSON DPT

Physical Therapist

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6575

DYSHELLA ATKINS

Registered Nurse

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6000

JONATHAN MICHAEL BONIE RN

Registered Nurse (Critical Care Medicine)

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6000

LAUREN CRAWFORD BREWER

Nurse Practitioner (Pediatrics)

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6000

JOSHUA MCLEAN AGACNP-BC

Nurse Practitioner (Critical Care Medicine)

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6840

VICKIE CHAPMAN-SHAW

Nurse Practitioner (Neonatal, Critical Care)

14550 OLD SAINT AUGUSTINE RD, NICU
JACKSONVILLE, FL 32258

Duval County (904) 271-6700

LAUREN NICOLE RUDDER BSN, RN

Registered Nurse

14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Duval County (904) 271-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellam Black's NPI number?

The NPI number for Kellam Black is 1255872024. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Kellam Black located?

Kellam Black practices at 14550 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 271-6575.

What is Kellam Black's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kellam Black was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.