Individual provider Active NPI

Kelley Stoker, CCC-SLP

  • Speech-Language Pathologist
  • Murfreesboro, TN
National Provider Identifier
1386126001
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5434 Issued in TN
Practice address
527 N Maple St
Murfreesboro, TN 37130-2833
Phone
(615) 205-3507
Fax
(317) 520-8200
NPI assigned
Aug 29, 2018
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5434 TN Primary

Addresses

Primary practice location

527 N Maple St
Murfreesboro, TN 37130-2833

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

7930 Walking Horse Cir
Germantown, TN 38138-2134
Phone (901) 752-2598

Other practice location 2

5511 Edmondson Pike Ste 105
Nashville, TN 37211-6852
Phone (615) 560-1331

Other practice location 3

100 Physicians Way Ste 200
Lebanon, TN 37090-8106
Phone (615) 709-0233

Other practice location 4

2740 Saint Andrews Dr
Murfreesboro, TN 37128-6684
Phone (615) 632-2003

Other practice location 5

993 Elliston Way
Thompsons Station, TN 37179-9801
Phone (855) 324-0885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002240 TX Practitioner - Qualified Speech Language Pathologist 2062864432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5434TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1386126001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302833",
            "telephone_number": "615-205-3507",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7930 Walking Horse Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382134",
            "country_code": "US",
            "telephone_number": "901-752-2598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Edmondson Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372116852",
            "country_code": "US",
            "telephone_number": "615-560-1331",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Physicians Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370908106",
            "country_code": "US",
            "telephone_number": "615-709-0233",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 Saint Andrews Dr",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371286684",
            "country_code": "US",
            "telephone_number": "615-632-2003",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "993 Elliston Way",
            "address_purpose": "LOCATION",
            "city": "Thompsons Station",
            "state": "TN",
            "postal_code": "371799801",
            "country_code": "US",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKER",
        "first_name": "KELLEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.