Individual provider Active NPI

Kielly Ramsdell

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1366814451
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA8494 Issued in AZ
Practice address
5314 N 7TH St
Phoenix, AZ 85014-2805
Phone
(480) 266-2750
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA8494 AZ Primary

Addresses

Primary practice location

5314 N 7TH St
Phoenix, AZ 85014-2805

Mailing address

30888 N Bramwell Ave
San Tan Valley, AZ 85143-3378
Phone (480) 266-2750

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

LicenseStateTypeSpecialty
SLPA8494AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1366814451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30888 N BRAMWELL AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851433378",
            "telephone_number": "480-266-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142805",
            "telephone_number": "480-266-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSDELL",
        "first_name": "KIELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.