Kelsey M Smith, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60982764 Issued in WA

Practice address

603 N Anderson St
Ellensburg, WA 98926-3148

Phone

(509) 731-4018

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey M Dimm Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Summit Speech Therapy of Central Washington, LLC

  • Speech-Language Pathologist
  • Ellensburg, WA
  • NPI 1982482378
  NPD Authorized official
• Mountain View Occupational Therapy

  • Occupational Therapist
  • Ellensburg, WA
  • NPI 1336925361
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1003465311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263148",
            "telephone_number": "509-731-4018",
            "fax_number": "509-271-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263148",
            "telephone_number": "509-731-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60982764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "summitspeechcw@gmail.com",
            "affiliation": "N",
            "address_1": "700 E Mountain View Ave",
            "city": "Ellensburg",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989264802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "DIMM",
            "middle_name": "M",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antonia Sloan
• Nancy Kaye Smart, M.S., B.S.
• Alexia Katherine Smith
• David G Smith, PT
• Erika Marie Smith, PHARMD
• Wendy Rae Smith, LMP
• Megan Snyder, LMP
• Don A Solberg, M.D.
• Jennifer Sparr
• Kayla Marie Spence-Richardson

• Speech-Language Pathologist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.