Active NPI
Kellie E. Rajkowski, M.S., CCC-SLP
- Speech-Language Pathologist
- Hewitt, TX
National Provider Identifier
1073727160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24614
- Practice address
- 504 N Hewitt Dr
Suites 3 & 4
Hewitt, TX 76643-3172 - Phone
- (254) 399-8255
- Fax
- (254) 235-3408
- NPI assigned
- May 9, 2007
- 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 | 24614 | TX | Primary |
Addresses
Primary practice location
504 N Hewitt Dr
Suites 3 & 4
Hewitt, TX 76643-3172
Mailing address
504 N Hewitt Dr
Suites 3 & 4
Hewitt, TX 76643-3172
Phone (254) 399-8255
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 |
|---|---|---|---|
| 24614 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073727160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N HEWITT DR",
"address_2": "SUITES 3 & 4",
"city": "HEWITT",
"state": "TX",
"postal_code": "766433172",
"telephone_number": "254-399-8255",
"fax_number": "254-235-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N HEWITT DR",
"address_2": "SUITES 3 & 4",
"city": "HEWITT",
"state": "TX",
"postal_code": "766433172",
"telephone_number": "254-399-8255",
"fax_number": "254-235-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJKOWSKI",
"first_name": "KELLIE",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "24614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hewitt, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.