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KRISTINA KELLEY CCC-SLP
NPI 1285777565
Speech-Language Pathologist in Tampa, FL

Active since February 15, 2007
42002 E FOWLER AVENUE, TAMPA, FL 33620(813) 821-8038(813) 974-0483 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristina Kelley Ccc-slp NPPES

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

KRISTINA KELLEY CCC-SLP (NPI 1285777565) is an individual speech-language pathologist provider in Tampa, Florida, licensed in Florida (SA21795) and active in the NPI registry since February 2007. She maintains a secondary practice location in Belmont.

NPPES Registry Identity

NPI1285777565
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTINA KELLEYCredential: CCC-SLP
Location Address42002 E FOWLER AVENUETampa, FL 33620-2715
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-0483
Phone(813) 821-8038
Fax(813) 974-0483
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1285777565 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 · SA21795
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.
42002 E FOWLER AVENUE, Tampa, FL 33620
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Secondary Practice Location 1

Location 1275 Beatty DrBelmont, NC 28012-2715 · Phone (704) 512-3326 · Fax (704) 512-3355

Other Identifiers 2

OtherY911WFL · Bcbs
Medicaid119545200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Kelley Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kristina Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc
1.9 mi
Internal Medicine
13330 USF LAUREL DR, 6TH FLOOR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1245270164 (813) 974-2201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kristina Kelley's NPI number?

The NPI number for Kristina Kelley is 1285777565. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Kristina Kelley located?

Kristina Kelley practices at 42002 E Fowler Avenue, Tampa, FL 33620. The listed phone number is (813) 821-8038.

What is Kristina Kelley's specialty?

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

Is Kristina Kelley enrolled in Medicare?

Yes. Kristina Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristina Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Kelley reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Kelley was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.