Individual provider Active NPI

Kelsey Gress

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1114495207
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18186 Issued in FL
Practice address
7723 Jasper Ave
Jacksonville, FL 32211-7719
Phone
(904) 725-8044
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 1666 ND
Speech-Language Pathologist 235Z00000X 18186 FL Primary

Addresses

Primary practice location

7723 Jasper Ave
Jacksonville, FL 32211-7719

Mailing address

8451 Gate Pkwy W Apt 1145
Jacksonville, FL 32216-4104

Other practice location 1

55 1st Ave S
Kindred, ND 58051-4027
Phone (701) 428-3388 ext. 4110

Other practice location 2

8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836
Phone (904) 642-7300

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
1666NDMDAddiction (Substance Use Disorder) Counselor
18186FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Cass Special Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1114495207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 GATE PKWY W APT 1145",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 JASPER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117719",
            "telephone_number": "904-725-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Kindred",
            "state": "ND",
            "postal_code": "580514027",
            "country_code": "US",
            "telephone_number": "701-428-3388 x4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 A C Skinner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560836",
            "country_code": "US",
            "telephone_number": "904-642-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1666",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "18186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.