Kassie Marie Davalos, MSE, MA, CCC--SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

187 Issued in SD

Practice address

23777 Pine Haven Dr
Rapid City, SD 57702-7407

Phone

(605) 661-4623

NPI assigned

Jan 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kassie Marie Ehresmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1083944458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23777 PINE HAVEN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577027407",
            "telephone_number": "605-661-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23777 PINE HAVEN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577027407",
            "telephone_number": "605-661-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "KASSIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSE, MA, CCC--SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIE",
            "last_name": "EHRESMANN",
            "middle_name": "MARIE",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latisha Daniels
• Joanna Danielson
• Stacy Danielson, PA
• Steven L Dary, CNP-BC
• Ulyana Dashkevych, DO
• Matthew Davalos
• David a Rempel, DDS P.C.
• Laura E Davies, DDS
• Sean Davies, APRN
• Susan Davies

• Speech-Language Pathologist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.