Kirstie Raylene Chick, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113581 Issued in TX

Practice address

5501 SW 9TH Ave
Amarillo, TX 79106-4130

Phone

(806) 468-4343

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirstie Raylene Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Amarillo Hearing Clinic

  • Audiologist-Hearing Aid Fitter
  • Amarillo, TX
  • NPI 1073149266
  NPD (past)
• Ormson Hearing Health Care

  • Audiologist
  • Amarillo, TX
  • NPI 1720624851
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1225530694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064130",
            "telephone_number": "806-468-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064130",
            "telephone_number": "806-468-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "KIRSTIE",
        "middle_name": "RAYLENE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIE",
            "last_name": "FULLER",
            "middle_name": "RAYLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Cherry, PTA
• Brenda Chesley
• Larry Dean Chesley, DDS
• Stephanie Nichole Chestnut, AGACNP-BC
• Conrad Cheung, MD
• Harvey Enrique Chico, LMT
• Perle Chico
• Alana J Chilcote, R.N.
• Children'S Healthcare Associates, LLP
• Childrens Dentistry of Amarillo

• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, 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 Mar 1, 2018; 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.