Individual provider Active NPI

Kelsey Baggs, M.S. CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1396243416
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26190 Issued in CA
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

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221017001769 WA Practitioner - Qualified Speech Language Pathologist 0648667659 Reassigns benefits to 1 organization
I20221111001018 OR Practitioner - Qualified Speech Language Pathologist 0648667659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
26190CAMDOccupational Therapist
7636FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jun 23, 2022 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.

Verify at the official NPI Registry.