What is Kelly Fairris's NPI number?

Kelly Fairris's National Provider Identifier (NPI) is 1104884378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Fairris's specialty?

Kelly Fairris is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).

Where is Kelly Fairris located?

Kelly Fairris's practice location on file with NPPES is 440 Edmond Dr, Dyer, IN 46311-1523.

What is Kelly Fairris's phone number?

The practice phone number listed in the NPPES registry for Kelly Fairris is (219) 322-1415.

Is Kelly Fairris's NPI active?

Yes — Kelly Fairris's NPI (1104884378) is active in the NPPES registry as of the last update on 2021-09-30.

IndividualActive

Kelly Fairris, MA CCC SLP

NPI 1104884378 · Speech-Language Pathologist · Dyer, IN

Kelly Fairris, MA CCC SLP is a Speech-Language Pathologist provider in Dyer, IN (NPI 1104884378).

Provider details

NPI number: 1104884378
Entity type: Individual
Primary specialty: Speech-Language PathologistSpeech, Language and Hearing Service Providers
Credential: MA CCC SLP
Sex: Female
Sole proprietor: No
License: 22004186A (IN)

Practice location

440 Edmond Dr

Dyer, IN 46311-1523

Phone: (219) 322-1415

Street-level locationGet directions

Mailing address

440 Edmond Dr

Dyer, IN 46311-1523

Specialties & taxonomies

Speech-Language PathologistPrimary235Z00000XLicense 22004186A (IN)
Speech, Language and Hearing Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2006-05-03
Last updated: 2021-09-30
Certified: 2021-09-30

Frequently asked questions

What is Kelly Fairris's NPI number?: Kelly Fairris's National Provider Identifier (NPI) is 1104884378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kelly Fairris's specialty?: Kelly Fairris is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
Where is Kelly Fairris located?: Kelly Fairris's practice location on file with NPPES is 440 Edmond Dr, Dyer, IN 46311-1523.
What is Kelly Fairris's phone number?: The practice phone number listed in the NPPES registry for Kelly Fairris is (219) 322-1415.
Is Kelly Fairris's NPI active?: Yes — Kelly Fairris's NPI (1104884378) is active in the NPPES registry as of the last update on 2021-09-30.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions