Active NPI
Kelsey Leigh Morehead, SLP
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1235565748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3817
- Practice address
- 17706 I 30 Ste 3
Benton, AR 72019-2930 - Phone
- (501) 773-1419
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3817 | AR | MD | Speech-Language Pathologist |
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 | 3817 | AR | Primary |
Addresses
Primary practice location
17706 I 30 Ste 3
Benton, AR 72019-2930
Mailing address
800 Cache River Rd
North Little Rock, AR 72116-6360
Phone (501) 773-1419
NPI Registry JSON
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1235565748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CACHE RIVER RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721166360",
"telephone_number": "501-773-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17706 I 30 STE 3",
"city": "BENTON",
"state": "AR",
"postal_code": "720192930",
"telephone_number": "501-773-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREHEAD",
"first_name": "KELSEY",
"middle_name": "LEIGH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "3817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.