Kailey Alexandra Mersbach, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115547 Issued in TX

Practice address

17210 Campbell Rd
Dallas, TX 75252-4202

Phone

(972) 250-1700

NPI assigned

Mar 22, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1184200958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 GRAND CANYON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253985",
            "telephone_number": "972-804-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 CAMPBELL RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524202",
            "telephone_number": "972-250-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 Brentfield Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752482250",
            "country_code": "US",
            "telephone_number": "469-593-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERSBACH",
        "first_name": "KAILEY",
        "middle_name": "ALEXANDRA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hansel Merritt III, MD
• Jeanette Merritt, RN
• Nathan Henry Merritt, MD
• Sarah Merritt, MA, LPC
• Taylor Anne Merritt
• Shelby Mersbach, NCC, LPC-ASSOCIATE
• Jacqueline Mersch
• Charles S Merson, MD
• Taryn Mertz
• Paul Julian Merville

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.