Active NPI
Kelsey Leanne Wallen, MS-CCC-SLP
- Speech-Language Pathologist
- Visalia, CA
National Provider Identifier
1346982006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29090
- Practice address
- 1017 N Demaree St
Visalia, CA 93291-4117 - Phone
- (559) 741-9687
- Fax
- (559) 741-9694
- NPI assigned
- Apr 12, 2022
- 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 | 29090 | CA | Primary |
Addresses
Primary practice location
1017 N Demaree St
Visalia, CA 93291-4117
Mailing address
1017 N Demaree St
Visalia, CA 93291-4117
Phone (559) 741-9687
Other names 1
- Kelsey Leanne Wallen Newman
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29090 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathways | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Visalia, CA
- NPI 1154715092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1346982006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914117",
"telephone_number": "559-741-9687",
"fax_number": "559-741-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 N DEMAREE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914117",
"telephone_number": "559-741-9687",
"fax_number": "559-741-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLEN",
"first_name": "KELSEY",
"middle_name": "LEANNE",
"credential": "MS-CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "NEWMAN",
"middle_name": "LEANNE WALLEN",
"credential": "MS-CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.