Active NPI
Kaylie Jordyn Rader, M.S.
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1073224317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 120048
- Practice address
- 6701 Pinemont Dr Ste 200
Houston, TX 77092-3131 - Phone
- (832) 209-7830
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 120048 | TX | Primary |
Addresses
Primary practice location
6701 Pinemont Dr Ste 200
Houston, TX 77092-3131
Mailing address
2828 Greenbriar Dr Apt 2101
Houston, TX 77098-1449
Phone (936) 652-3106
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120048 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1073224317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 GREENBRIAR DR APT 2101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981449",
"telephone_number": "936-652-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 PINEMONT DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770923131",
"telephone_number": "832-209-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "KAYLIE",
"middle_name": "JORDYN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "120048",
"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 Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.