Active NPI
Kadie Brianne Sellers, ST
- Speech-Language Pathologist
- Conroe, TX
National Provider Identifier
1215774740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118822
- Practice address
- 4714 FM 1488 Rd Ste 204
Conroe, TX 77384-4930 - Phone
- (936) 224-7940
- Fax
- (281) 789-4499
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 118822 | TX | Primary |
Addresses
Primary practice location
4714 FM 1488 Rd Ste 204
Conroe, TX 77384-4930
Mailing address
4714 FM 1488 Rd Ste 204
Conroe, TX 77384-4930
Phone (936) 224-7940
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118822 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Spot, LLC | Single Specialty | Current | Accepting new patients |
Locations
4714 FM 1488 Rd
Ste 204
Conroe, TX 77384
Phone (281) 259-5552
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": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1215774740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 FM 1488 RD STE 204",
"city": "CONROE",
"state": "TX",
"postal_code": "773844930",
"telephone_number": "936-224-7940",
"fax_number": "281-789-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 FM 1488 RD STE 204",
"city": "CONROE",
"state": "TX",
"postal_code": "773844930",
"telephone_number": "936-224-7940",
"fax_number": "281-789-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "KADIE",
"middle_name": "BRIANNE",
"name_prefix": "Ms.",
"credential": "ST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.