MRS. KELLY ANN SULLIVAN MS CCC-SLP
NPI 1962656884
Speech-Language Pathologist in Largo, FL

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1962656884. It was assigned to this individual provider in the NPPES registry on November 5, 2008.

Q: What is Kelly Sullivan'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 Sullivan was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 05, 2008Accepts Medicare Assignment

8254 118TH AVENUE NORTH, SUITE 100, LARGO, FL 33773(727) 541-5304(727) 546-8527 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2017, Nov 21, 2016 (2 updates tracked since 2016).

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About Mrs. Kelly Ann Sullivan Ms Ccc-slp NPPES

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

MRS. KELLY ANN SULLIVAN MS CCC-SLP (NPI 1962656884) is an individual speech-language pathologist provider in Largo, Florida, licensed in Florida (SA12634) and active in the NPI registry since November 2008. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1962656884

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KELLY ANN SULLIVANCredential: MS CCC-SLP

Location Address8254 118TH AVENUE NORTH, SUITE 100Largo, FL 33773-5027

Mailing Address2631 Barksdale CtClearwater, FL 33761-3704 · (727) 541-5304 · Fax (727) 546-8527

Phone(727) 541-5304

Fax(727) 546-8527

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateNovember 5, 2008

Last NPPES UpdateMarch 15, 20172 updates tracked since enumeration

✔ NPI 1962656884 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

Licenses✔ Licensed in FL · SA12634✔ Licensed in VA · 2202005944✔ Licensed in FL · 5A12634

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.

8254 118TH AVENUE NORTH, Largo, FL 33773

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

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

Mrs. Kelly Ann Sullivan Ms Ccc-slp 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 ID8527366202

PECOS Enrollment IDI20160413000684

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.

MEGAN KINNEY SLP

Speech-Language Pathologist

8254 118TH AVENUE NORTH, STE 100
LARGO, FL 33773

Pinellas County (727) 541-5304

MS. BURGUNDY ROWE SLP

Speech-Language Pathologist