KELLY CORONADO
NPI 1851086136
Speech-Language Pathologist in Hicksville, NY

Q: What is Kelly Coronado's NPI number?

The NPI number for Kelly Coronado is 1851086136. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Kelly Coronado'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 Coronado was last updated on April 11, 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 April 11, 2023

400 S OYSTER BAY RD STE 102, HICKSVILLE, NY 11801(631) 240-3579 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Coronado NPPES

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

KELLY CORONADO (NPI 1851086136) is an individual speech-language pathologist provider in Hicksville, New York and active in the NPI registry since April 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1851086136

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY CORONADO

Location Address400 S OYSTER BAY RD STE 102Hicksville, NY 11801-3500

Mailing Address9123 220th StQueens Village, NY 11428-1346

Phone(631) 240-3579

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1851086136 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

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.

400 S OYSTER BAY RD STE 102, Hicksville, NY 11801

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

PECOS PAC ID9638647902

PECOS Enrollment IDI20260505002309

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.

BRIANNA ROSAMILIA OTR/L

Occupational Therapist