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KELLI WILTBANK SLP-CCC
NPI 1992419741
Speech-Language Pathologist in Queen Creek, AZ

Active since January 06, 2023
24937 S SOSSAMAN RD, QUEEN CREEK, AZ 85142(480) 826-0847 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Jan 6, 2023 (2 updates tracked since 2023).

About Kelli Wiltbank Slp-ccc NPPES

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

KELLI WILTBANK SLP-CCC (NPI 1992419741) is an individual speech-language pathologist provider in Queen Creek, Arizona, licensed in Arizona (14763) and active in the NPI registry since January 2023. She maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1992419741
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLI WILTBANKCredential: SLP-CCC
Location Address24937 S SOSSAMAN RDQueen Creek, AZ 85142-6571
Mailing Address20217 E Chandler Heights RdQueen Creek, AZ 85142-9521
Phone(480) 826-0847
Sole ProprietorYes
Enumeration DateJanuary 6, 2023
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1992419741 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 AZ · 14763
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.
24937 S SOSSAMAN RD, Queen Creek, AZ 85142
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Secondary Practice Location 1

Location 1108 W University DrMesa, AZ 85201-5818 · Phone (480) 668-1917 · Fax (480) 668-2750

Other Identifiers 1

Medicaid1316163884AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JESSICA MORALES
Registered Nurse (School)
24937 S SOSSAMAN RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 655-6205

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 Kelli Wiltbank's NPI number?

The NPI number for Kelli Wiltbank is 1992419741. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Kelli Wiltbank located?

Kelli Wiltbank practices at 24937 S Sossaman Rd, Queen Creek, AZ 85142. The listed phone number is (480) 826-0847.

What is Kelli Wiltbank'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 Kelli Wiltbank was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.