Individual provider Active NPI

Kelsey Kuehn, M.S. SLP

  • Speech-Language Pathologist
  • Williston, ND
National Provider Identifier
1295465102
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2146 Issued in ND
Practice address
221 University Ave Ste 203
Williston, ND 58801-5618
Phone
(701) 580-8788
Fax
(701) 609-5231
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 2146 ND Primary

Addresses

Primary practice location

221 University Ave Ste 203
Williston, ND 58801-5618

Mailing address

221 University Ave Ste 203
Williston, ND 58801-5618
Phone (701) 580-8788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003001 ND Practitioner - Qualified Speech Language Pathologist 0244671972 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie County Healthcare Systems Inc CurrentSince Mar 31, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Mar 31, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Locations

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

516 N Main St
Watford City, ND 58854
Phone (701) 842-3000

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

Organizations & group practices 3

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1295465102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 UNIVERSITY AVE STE 203",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015618",
            "telephone_number": "701-580-8788",
            "fax_number": "701-609-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 UNIVERSITY AVE STE 203",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015618",
            "telephone_number": "701-580-8788",
            "fax_number": "701-609-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHN",
        "first_name": "KELSEY",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.