Kelsey Aurand de Razo, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2015037212 Issued in MO

Practice address

203 Park PLZ
Kirksville, MO 63501-1969

Phone

(660) 785-0500

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1154069706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010589",
            "telephone_number": "660-785-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK PLZ",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011969",
            "telephone_number": "660-785-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURAND DE RAZO",
        "first_name": "KELSEY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2015037212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2015037212",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14053535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maroeil Aslani
• Megan S. Aspelund, D.O.
• Azhar Assadi, DO
• Trina Atchley
• Tiffany Anna Athon, PHARM D
• Kathy Ayers, F.N.P.
• Randall R Bacon, LPC
• John Dee Bailey, D.O.
• K. Brayden Howard Bailey
• Dalton Dean Baker

• All providers in Kirksville, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.