Active NPI
Kelsey Baggs, M.S. CCC-SLP
- Speech-Language Pathologist
- San Jose, CA
National Provider Identifier
1396243416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 26190
- Practice address
- 357 Piercy Rd
San Jose, CA 95138-1403 - Phone
- (408) 692-5197
- NPI assigned
- Jan 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7636 | FL | |
| Speech-Language Pathologist | 235Z00000X | 26190 | CA | Primary |
Addresses
Primary practice location
357 Piercy Rd
San Jose, CA 95138-1403
Mailing address
357 Piercy Rd
San Jose, CA 95138-1403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26190 | CA | MD | Occupational Therapist |
| 7636 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Defining Voice | Speech-Language Pathologist | Past | Accepting new patients |
Locations
650 NE Holladay St
Ste 1600
Portland, OR 97232
Phone (503) 438-0266
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (206) 486-8077
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1396243416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 PIERCY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 PIERCY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381403",
"telephone_number": "408-692-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGS",
"first_name": "KELSEY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "7636",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.