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MISS KELLY E CLYDE M.S.
NPI 1831467216
Speech-Language Pathologist in Fairmont, WV

Active since December 13, 2011Accepts Medicare Assignment
51 SOUTHLAND DR, SUITE 2300, FAIRMONT, WV 26554(304) 363-3167(304) 363-1725 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Kelly E Clyde M.s. NPPES

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

MISS KELLY E CLYDE M.S. (NPI 1831467216) is an individual speech-language pathologist provider in Fairmont, West Virginia, licensed in West Virginia (1313) and active in the NPI registry since December 2011. She maintains a secondary practice location in White Hall and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831467216
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS KELLY E CLYDECredential: M.S.
Location Address51 SOUTHLAND DR, SUITE 2300Fairmont, WV 26554-2244
Mailing Address51 Middletown Rd Ste 102White Hall, WV 26554-8177
Phone(304) 363-3167
Fax(304) 363-1725
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 13, 2011
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1831467216 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 WV · 1313
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.
51 SOUTHLAND DR, Fairmont, WV 26554
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Other Names 1

Former Name (1)Kelly E Runion

Secondary Practice Location 1

Location 151 Middletown Rd Ste 102White Hall, WV 26554-8177 · Phone (304) 534-8122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kelly E Clyde M.s. 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 ID2163986712
PECOS Enrollment IDI20260714004487

Medicare Billing Reassignment

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

Elevate Physical Therapy, Corp.
1.2 mi
Physical Therapist
51 MIDDLETOWN RD
Fairmont, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1023743150 (304) 612-5916

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

Other Providers at the Same Location NPPES 9

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

MS. ILA BETH ANDERSON MPT
Physical Therapist
51 SOUTHLAND DR, SUITE 2300
FAIRMONT, WV 26554
Marion County (304) 363-3167
MR. JOSEPH A. SPILLSON OTR/L
Occupational Therapist
51 SOUTHLAND DR, SUITE 2400
FAIRMONT, WV 26554
Marion County (304) 367-7375
MR. LUCAS BENJAMIN DAVIS OTR/L
Occupational Therapist
51 SOUTHLAND DR, SUITE 2300
FAIRMONT, WV 26554
Marion County (304) 363-3167
MELISA JUNE SIGLEY PHARMD, CDE
Pharmacist
51 SOUTHLAND DR, FAIRMONT
FAIRMONT, WV 26554
Marion County (304) 368-9355
DR. JAMES HOLEHOUSE M.D.
Obstetrics & Gynecology
51 SOUTHLAND DR, SUITE 3200
FAIRMONT, WV 26554
Marion County (304) 333-8385
MRS. HEIDI JO BINEGAR PTA
Physical Therapy Assistant
51 SOUTHLAND DR, SUITE 2300
FAIRMONT, WV 26554
Marion County (304) 363-3167
FAIRMONT PHYSICIANS, INC
Family Medicine
51 SOUTHLAND DR, SUITE 1200
FAIRMONT, WV 26554
Marion County (304) 363-2018
LEAH M PECK LGSW
Social Worker
51 SOUTHLAND DR
FAIRMONT, WV 26554
Marion County (304) 704-3885

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 Clyde's NPI number?

The NPI number for Kelly Clyde is 1831467216. It was assigned to this individual provider in the NPPES registry on December 13, 2011. The provider is also known as Kelly E Runion.

Where is Kelly Clyde located?

Kelly Clyde practices at 51 Southland Dr Suite 2300, Fairmont, WV 26554. The listed phone number is (304) 363-3167.

What is Kelly Clyde's specialty?

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

Is Kelly Clyde enrolled in Medicare?

Yes. Kelly Clyde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Clyde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Clyde reassigns Medicare benefits to Elevate Physical Therapy, Corp. (Fairmont, WV). 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 Kelly Clyde'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 Kelly Clyde was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.