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KELLY LYNN COBURN
NPI 1881962488
Speech-Language Pathologist in Brighton, MA

Active since December 09, 2011
30 WARREN ST, SPEECH-LANGUAGE-HEARING, BRIGHTON, MA 02135(617) 254-3800 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Lynn Coburn NPPES

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

KELLY LYNN COBURN (NPI 1881962488) is an individual speech-language pathologist provider in Brighton, Massachusetts and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1881962488
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY LYNN COBURN
Location Address30 WARREN ST, SPEECH-LANGUAGE-HEARINGBrighton, MA 02135-3602
Mailing Address30 Warren St, Speech-language-hearingBrighton, MA 02135-3602
Phone(617) 254-3800
Sole ProprietorNo
Enumeration DateDecember 9, 2011
✔ NPI 1881962488 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.
30 WARREN ST, Brighton, MA 02135
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Comptroller Of Maryland Central Payroll Bureau
351 mi
Audiologist
8000 YORK RD
Towson, MD 21252
  • Reassigned Medicare billing, Maryland enrollment
  • 49 clinicians in this Medicare group
NPI 1871609545 (410) 704-7300

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 20

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

KATHERINE NILDA VISCARRA RN
Registered Nurse
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-3800
DR. ALISON MCVEY PT, DPT
Physical Therapist
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-3800
ALEX EDUARDO SANTOS LCSW
Social Worker (Clinical)
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 955-1564
ROSE MINICHIELLO
Music Therapist
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-3800
ABIGAIL LOUISE COOK FNP-C
Nurse Practitioner (Pediatrics)
30 WARREN ST
BOSTON, MA 02135
Suffolk County (617) 254-3800
ALICE FREEMAN GOODRICH LICSW
Social Worker (Clinical)
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 779-1685
ASIYA BAKSH MS
Occupational Therapist
30 WARREN ST
BOSTON, MA 02135
Suffolk County (617) 254-3800
SHANNON BYRNE PT, DPT
Physical Therapist
30 WARREN ST
BRIGHTON, MA 02135
Suffolk County (617) 254-3800

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 Coburn's NPI number?

The NPI number for Kelly Coburn is 1881962488. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Where is Kelly Coburn located?

Kelly Coburn practices at 30 Warren St Speech-Language-Hearing, Brighton, MA 02135. The listed phone number is (617) 254-3800.

What is Kelly Coburn's specialty?

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

Is Kelly Coburn enrolled in Medicare?

Yes. Kelly Coburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Coburn reassigns Medicare benefits to Comptroller Of Maryland Central Payroll Bureau (Towson, MD). 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 Coburn'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 Coburn was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.