Individual provider Active NPI

Kaylee Joyce Van Vliet

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1104530922
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1347-SLP Issued in SD
Practice address
1000 S Edward Dr
Sioux Falls, SD 57103-2932
Phone
(605) 367-6150
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1139-PROV SD
Speech-Language Pathologist 235Z00000X 1347-SLP SD Primary

Addresses

Primary practice location

1000 S Edward Dr
Sioux Falls, SD 57103-2932

Mailing address

1608 S Campbell TRL
Sioux Falls, SD 57106-3364
Phone (209) 665-5604

Other practice location 1

5701 E Red Oak Dr
Sioux Falls, SD 57110-4002
Phone (605) 371-4170

Other names 1

  • Kaylee Joyce Scholten Former name

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

LicenseStateTypeSpecialty
1139-PROVSDMDSpeech-Language Pathologist
1347-SLPSDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1104530922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S CAMPBELL TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063364",
            "telephone_number": "209-665-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S EDWARD DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571032932",
            "telephone_number": "605-367-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 E Red Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571104002",
            "country_code": "US",
            "telephone_number": "605-371-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VLIET",
        "first_name": "KAYLEE",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "1139-PROV",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "1347-SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "SCHOLTEN",
            "middle_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.