KELLY DOUGLASS SLP
NPI 1679254494
Speech-Language Pathologist in Roseville, CA

Q: What is Kelly Douglass's NPI number?

The NPI number for Kelly Douglass is 1679254494. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Q: What is Kelly Douglass'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 Douglass was last updated on July 25, 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.

Active since July 25, 2023

707 SUNRISE AVE, ROSEVILLE, CA 95661(916) 247-9629 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Douglass Slp NPPES

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

KELLY DOUGLASS SLP (NPI 1679254494) is an individual speech-language pathologist provider in Roseville, California, licensed in California (12012) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1679254494

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY DOUGLASSCredential: SLP

Location Address707 SUNRISE AVERoseville, CA 95661-4524

Mailing Address504 Cranborne CtRoseville, CA 95747-6291 · (916) 247-9629

Phone(916) 247-9629

Sole ProprietorNo

Enumeration DateJuly 25, 2023

NPPES CertifiedJuly 25, 2023

✔ NPI 1679254494 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 CA · 12012

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.

707 SUNRISE AVE, Roseville, CA 95661

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Other Providers at the Same Location NPPES

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

JENNY Y. COSCARELLI

Physical Therapist

707 SUNRISE AVE
ROSEVILLE, CA 95661

Placer County (916) 610-0774

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 Kelly Douglass's NPI number?

The NPI number for Kelly Douglass is 1679254494. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Kelly Douglass located?

Kelly Douglass practices at 707 Sunrise Ave, Roseville, CA 95661. The listed phone number is (916) 247-9629.

What is Kelly Douglass'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 Kelly Douglass was last updated on July 25, 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.