Individual provider Active NPI

Kaley Daniel Briggs

  • Speech-Language Pathologist
  • Kingsport, TN
National Provider Identifier
1194457028
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7921 Issued in TN
Practice address
301 Louis St Ste 101
Kingsport, TN 37660-5195
Phone
(423) 246-4600
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202010826 VA
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 7921 TN Primary

Addresses

Primary practice location

301 Louis St Ste 101
Kingsport, TN 37660-5195

Mailing address

301 Louis St Ste 101
Kingsport, TN 37660-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001890 TN Practitioner - Qualified Speech Language Pathologist 0648718866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 S Roan St
Suite 425
Johnson City, TN 37601-7587
Phone (423) 212-3853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202010826VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Region Speech and Hearing Center Speech-Language Pathologist CurrentSince Jul 3, 2022 Accepting new patients
Johnson City Speech and Language Therapy Speech-Language Pathologist CurrentSince Jun 10, 2024 Accepting new patients

Locations

2700 S Roan St
Ste 425
Johnson City, TN 37601
Phone (423) 212-3853

301 Louis St
Ste 101
Kingsport, TN 37660
Phone (423) 246-4600

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1194457028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LOUIS ST STE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOUIS ST STE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605195",
            "telephone_number": "423-246-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "KALEY",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010826",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.