Individual provider Active NPI

Kelsey Williams, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1295481323
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10233 Issued in FL
Practice address
11310 Legacy Ave
Palm Beach Gardens, FL 33410-3658
Phone
(561) 624-9188
NPI assigned
Feb 28, 2022
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 SZ10233 FL Primary

Addresses

Primary practice location

11310 Legacy Ave
Palm Beach Gardens, FL 33410-3658

Mailing address

11025 Legacy Blvd Apt 203
Palm Beach Gardens, FL 33410-3617
Phone (850) 381-1593

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 Science

State licenses

LicenseStateTypeSpecialty
SZ10233FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nisha Bhatt Inc. Speech-Language Pathologist PastSince Mar 1, 2022 Accepting new patients
Nisha Bhatt Inc. Speech-Language Pathologist PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1295481323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 LEGACY BLVD APT 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103617",
            "telephone_number": "850-381-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 LEGACY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103658",
            "telephone_number": "561-624-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELSEY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.