Kelly Wagner, MS CCC-SLP
NPI 1235562307 · Speech-Language Pathologist · Edmonds, WA
Kelly Wagner, MS CCC-SLP is a Speech-Language Pathologist provider in Edmonds, WA (NPI 1235562307).
Provider details
- NPI number
- 1235562307
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61092065 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Kelly Wagner's NPI number?
- Kelly Wagner's National Provider Identifier (NPI) is 1235562307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wagner's specialty?
- Kelly Wagner is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kelly Wagner located?
- Kelly Wagner's practice location on file with NPPES is 7500 212th St Sw Ste 204, Edmonds, WA 98026-7617.
- What is Kelly Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wagner is (360) 504-8893.
- Is Kelly Wagner's NPI active?
- Yes — Kelly Wagner's NPI (1235562307) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.