Active NPI
Kaylee Mia Bushman
- Speech-Language Pathologist
- Rowlett, TX
National Provider Identifier
1013778364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122083
- Practice address
- 2505 Kirby Rd
Rowlett, TX 75088-6109 - Phone
- (972) 682-0100
- NPI assigned
- Jan 23, 2024
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 122083 | TX | Primary |
Addresses
Primary practice location
2505 Kirby Rd
Rowlett, TX 75088-6109
Mailing address
2175 Clubview Dr
Rockwall, TX 75087-3162
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122083 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royse City Isd | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Royse City, TX
- NPI 1629359286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1013778364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 CLUBVIEW DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 KIRBY RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750886109",
"telephone_number": "972-682-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHMAN",
"first_name": "KAYLEE",
"middle_name": "MIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.