Individual provider Active NPI

Kolby Michelle Kail, M.S. CCC-SLP, COM

  • Speech-Language Pathologist
  • Carlsbad, CA
National Provider Identifier
1003041542
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2624 El Camino Real Ste B
Carlsbad, CA 92008-1250
Phone
(760) 696-3456
Fax
(760) 696-3458
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2624 El Camino Real Ste B
Carlsbad, CA 92008-1250

Mailing address

2624 El Camino Real Ste B
Carlsbad, CA 92008-1250
Phone (760) 274-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Speech Therapy CurrentSince Apr 28, 2024 Accepting new patients

Locations

2624 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 363-3456

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1003041542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081250",
            "telephone_number": "760-274-3575",
            "fax_number": "760-274-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081250",
            "telephone_number": "760-696-3456",
            "fax_number": "760-696-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIL",
        "first_name": "KOLBY",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-SLP, COM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.