KELLY CARROLL DAVID
NPI 1356807416
Speech-Language Pathologist in Orlando, FL

Q: What is Kelly David's NPI number?

The NPI number for Kelly David is 1356807416. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Kelly David'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 David was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 13, 2019Accepts Medicare Assignment

3280 PROGRESS DR STE 500, ORLANDO, FL 32826(407) 882-0468 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Carroll David NPPES

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

KELLY CARROLL DAVID (NPI 1356807416) is an individual speech-language pathologist provider in Orlando, Florida, licensed in (SA14893) and active in the NPI registry since February 2019. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1356807416

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY CARROLL DAVID

Location Address3280 PROGRESS DR STE 500Orlando, FL 32826-2903

Mailing Address3280 Progress Dr Ste 500Orlando, FL 32826-2903 · (407) 882-0468

Phone(407) 882-0468

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 13, 2019

✔ NPI 1356807416 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 · SA14893

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.

3280 PROGRESS DR STE 500, Orlando, FL 32826

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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 and accepts Medicare assignment

Kelly Carroll David is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123366044

PECOS Enrollment IDI20190219000089

Other Providers at the Same Location NPPES 12

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

JACLYN LUCEY SLP

Speech-Language Pathologist