Kelly Robertson, M.A. CCC/SLP

NPI: 1104148451

Kelly Robertson, M.A. CCC/SLP

Q: What is Kelly Robertson's NPI number?

Kelly Robertson's NPI number is 1104148451, a unique 10-digit identifier issued by CMS.

Q: What does Kelly Robertson specialize in?

Kelly Robertson specializes in Speech-Language Pathologist, taxonomy code 235Z00000X.

Q: Where does Kelly Robertson practice?

Kelly Robertson practices in Lake Wylie, SC 29710-9001.

Q: When was Kelly Robertson's NPI issued?

Kelly Robertson's NPI was issued on February 26, 2010.

Q: What is Kelly Robertson's provider type?

Kelly Robertson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpeech-Language Pathologist

NPI issued: February 26, 2010

Quick Facts

NPI Number

1104148451

TypeIndividual

StatusActive

SpecialtySpeech-Language Pathologist

Taxonomy235Z00000X — Speech-Language Pathologist

Phone

(407) 690-2056

StateSC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104148451)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (February 26, 2010)

Data source: CMS NPPES

Provider Overview

KELLY ROBERTSON, M.A. CCC/SLP is a Speech-Language Pathologist provider based in Lake Wylie, SC who has been registered with CMS since 2010. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104148451

Provider TypeIndividual Provider

GenderFemale

CredentialM.A. CCC/SLP

StatusActive

Enumeration DateFebruary 26, 2010

Practice Location

CityLake Wylie

StateSC

ZIP Code29710-9001

Phone(407) 690-2056

Specialties & Licenses

★ Primary

SpecialtySpeech-Language Pathologist

Taxonomy Code235Z00000X

License StateSC

Mailing Address

CityLake Wylie

StateSC

ZIP Code29710-9001

Phone(407) 690-2056

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104148451 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104148451for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104148451 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Speech-Language Pathologist

Speech-Language Pathologists assess, diagnose, treat, and help prevent communication and swallowing disorders in children and adults, assisting with speech, language, voice, and fluency.

Browse all Speech-Language Pathologistproviders →

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Speech-Language Pathologist Providers in the US