Individual provider Active NPI

Kelsey Brown, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1043615917
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108723 Issued in TX
Practice address
3207 Lakeside TRL
Houston, TX 77077-1685
Phone
(713) 835-5325
Fax
(832) 900-1112
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 108723 TX Primary

Addresses

Primary practice location

3207 Lakeside TRL
Houston, TX 77077-1685

Mailing address

3207 Lakeside TRL
Houston, TX 77077-1685
Phone (713) 835-5325

Other practice location 1

1406 Waverly St
Unit A
Houston, TX 77008-4147
Phone (262) 203-3409

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 Arts

State licenses

LicenseStateTypeSpecialty
108723TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1043615917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 LAKESIDE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771685",
            "telephone_number": "713-835-5325",
            "fax_number": "832-900-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 LAKESIDE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771685",
            "telephone_number": "713-835-5325",
            "fax_number": "832-900-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Waverly St",
            "address_2": "Unit A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770084147",
            "country_code": "US",
            "telephone_number": "262-203-3409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELSEY",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.