Active NPI
Kelly Reed Steele, MA CCC-SLP
- Speech-Language Pathologist
- Pullman, WA
National Provider Identifier
1316072028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00001976
- Practice address
- 1610 SE Summit CT.
Pullman, WA 99163 - Phone
- (509) 332-5106
- Fax
- (509) 334-5723
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LL00001976 | WA | Primary |
Addresses
Primary practice location
1610 SE Summit CT.
Pullman, WA 99163
Mailing address
1610 SE Summit CT
Pullman, WA 99163
Phone (509) 332-5106
Other names 1
- Ms. Kelly Reed Sebold
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 SE Summit CT
Pullman, WA 99163-5519
Phone (509) 332-5106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00001976 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Speech-Language Pathologist | Current | Accepting new patients |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Progress Center,Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Public Hospital District # 1-a | Past | Accepting new patients |
Locations
1620 SE Summit Ct
Pullman, WA 99163
Phone (509) 332-5106
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Family Medicine Physician
- Pullman, WA
- NPI 1881475051
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Longview, WA
- NPI 1497809636
-
- Clinical Medical Laboratory
- Pullman, WA
- NPI 1962667170
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1316072028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 SE SUMMIT CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99163",
"telephone_number": "509-332-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 SE SUMMIT CT.",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99163",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "KELLY",
"middle_name": "REED",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00001976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "SEBOLD",
"middle_name": "REED",
"prefix": "MS.",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.