Individual provider Active NPI

Kaitlyn Hutson Gill, MA, CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1235918277
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113483 Issued in TX
Practice address
10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506
Phone
(817) 431-9000
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113483 TX Primary

Addresses

Primary practice location

10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506

Mailing address

1020 Timber Ridge Dr
Justin, TX 76247-1881

Other practice location 1

111 Larson Ln
Aledo, TX 76008-4589
Phone (817) 431-9000

Other identifiers 1

IdentifierTypeStateIssuer
113483OtherTXSPEECH THERAPY LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.beelievepediatrictherapy.com
Other URL www.beelievepediatrictherapy.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
113483TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beelieve Pediatric Therapy Clinic LLC PastSince Oct 1, 2023 Accepting new patients

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235918277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIMBER RIDGE DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762471881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Larson Ln",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "TX",
            "postal_code": "760084589",
            "country_code": "US",
            "telephone_number": "817-431-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KAITLYN",
        "middle_name": "HUTSON",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY LICENSE",
            "identifier": "113483",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "10640 N Riverside Dr Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762449506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "111 Larson Ln",
            "city": "Aledo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760084589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.