Kelley Denise Nettles, SLP
Individual provider Active NPI Speech-Language Pathologist · Klein, TX
NPI 1316675937 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1316675937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 100009 (TX)
- Practice address
- 7200 Spring Cypress Rd
Klein, TX 77379-3299 - Phone
- (832) 249-4399
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19602 Aventine Plantation Dr
Katy, TX 77449-2689
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251014003912 | TX | Practitioner - Qualified Speech Language Pathologist | 0042707960 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bespoke Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Speech Academy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Klein Independant School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100009 | TX | Yes |
Addresses
Primary practice location
7200 Spring Cypress Rd
Klein, TX 77379-3299
Mailing address
7200 Spring Cypress Rd
Klein, TX 77379-3299
Phone (832) 249-4399
Other providers in Klein, TX
- Garza & Sweeney Consulting Services, LLC
- Maria G Griffin
- Catherine Horton
- Jennifer Kim
- Klein Isd
- Matthew Periera
- Audrey Hethershaw Poplin
- Rebecca Rice
- Alexis Rodriguez
- Lindsay Leigh Sheaffer
All providers in Klein, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.