KELLY DANIELSON
NPI 1265261218
Speech-Language Pathologist in Las Vegas, NV

Q: What is Kelly Danielson's NPI number?

The NPI number for Kelly Danielson is 1265261218. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Kelly Danielson'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 Kelly Danielson was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 July 29, 2024

7425 W AZURE DR STE 140, LAS VEGAS, NV 89130(702) 515-4009 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2024, Jul 29, 2024 (2 updates tracked since 2024).

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About Kelly Danielson NPPES

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

KELLY DANIELSON (NPI 1265261218) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Nevada (SP-4047) and active in the NPI registry since July 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1265261218

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY DANIELSON

Location Address7425 W AZURE DR STE 140Las Vegas, NV 89130-4425

Mailing Address9344 Bright Blue Sky AveLas Vegas, NV 89166-3787

Phone(702) 515-4009

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 29, 2024

Last NPPES UpdateSeptember 7, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2024

✔ NPI 1265261218 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 NV · SP-4047

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.

7425 W AZURE DR STE 140, Las Vegas, NV 89130

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Danielson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759860059

PECOS Enrollment IDI20260206003011

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.

JONATHAN PAUL

Speech-Language Pathologist