Active NPI
Jakaycee K Chaney
- Speech-Language Pathologist
- Pearland, TX
National Provider Identifier
1174001671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 116917
- Practice address
- 2011 Broadway St Ste 130
Pearland, TX 77581-5945 - Phone
- (281) 997-8509
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 116917 | TX | Primary |
Addresses
Primary practice location
2011 Broadway St Ste 130
Pearland, TX 77581-5945
Mailing address
21145 Spring Plaza Dr Apt 1414
Spring, TX 77388-1440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jakaycee.chaney@riverkidstexas.com | Riverkids Houston Therapy, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210604002306 | TX | Practitioner - Qualified Speech Language Pathologist | 1254730625 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39035 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk and Milestones LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Riverkids Houston Therapy, LLC | Past | Accepting new patients |
Interoperability endpoints
- jakaycee.chaney@riverkidstexas.com
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1881455335
-
- Home Health Agency
- Pearland, TX
- NPI 1780729731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1174001671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21145 SPRING PLAZA DR APT 1414",
"city": "SPRING",
"state": "TX",
"postal_code": "773881440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945",
"telephone_number": "281-997-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "JAKAYCEE",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jakaycee.chaney@riverkidstexas.com",
"affiliation": "Y",
"affiliationName": "Riverkids Houston Therapy, LLC",
"address_1": "2011 Broadway St Ste 130",
"city": "Pearland",
"state": "TX",
"country_code": "US",
"postal_code": "775815945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.