Kelley Denise Nettles, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100009 Issued in TX

Practice address

7200 Spring Cypress Rd
Klein, TX 77379-3299

Phone

(832) 249-4399

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bespoke Therapy LLC

  • Occupational Therapist
  • Katy, TX
  • NPI 1295526416

  Speech-Language Pathologist

  Medicare reassignment NPD
• Speech Academy LLC

  • Speech-Language Pathologist
  • Katy, TX
  • NPI 1740060102
  NPD
• Klein Independant School District

  • Local Education Agency (LEA)
  • Spring, TX
  • NPI 1063552354
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1316675937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 SPRING CYPRESS RD",
            "city": "KLEIN",
            "state": "TX",
            "postal_code": "773793299",
            "telephone_number": "832-249-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SPRING CYPRESS RD",
            "city": "KLEIN",
            "state": "TX",
            "postal_code": "773793299",
            "telephone_number": "832-249-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "KELLEY",
        "middle_name": "DENISE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garza & Sweeney Consulting Services, LLC
• Maria G Griffin, LCSW
• Catherine Horton, COTA
• Jennifer Kim
• Klein Isd
• Matthew Periera
• Audrey Hethershaw Poplin, M.S. CCC-SLP
• Rebecca Rice
• Alexis Rodriguez
• Lindsay Leigh Sheaffer

• Speech-Language Pathologist in Klein, TX
• Providers in Klein, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.

Verify at the official NPI Registry.