IndividualActive
Kellam Black, S.L.P.
NPI 1255872024 · Speech-Language Pathologist · Jacksonville, FL
Provider details
- NPI number
- 1255872024
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- S.L.P.
- Sex
- Female
- Sole proprietor
- No
- License
- SA8959 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone: (904) 271-6575
Street-level locationGet directions
Mailing address
126 Glen Eagles Ct
Ponte Vedra Beach, FL 32082-3613
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.