Active NPI
Kelly Roy
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1407358781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2017022373
- Practice address
- 12300 S 40 Dr
Saint Louis, MO 63141-8820 - Phone
- (314) 692-7172
- NPI assigned
- Mar 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2017022373 | MO | Primary |
Addresses
Primary practice location
12300 S 40 Dr
Saint Louis, MO 63141-8820
Mailing address
12300 S 40 Dr
Saint Louis, MO 63141-8820
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 |
|---|---|---|---|
| 2017022373 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear for You Speech-Language Pathology | Speech-Language Pathologist | Current | Accepting new patients |
| Moog Center for Deaf Education | Speech-Language Pathologist | Past | Accepting new patients |
| Dell Children'S Medical Group | Past | Accepting new patients |
Interoperability endpoints
- kelly.roy.2@8363.direct.athenahealth.com
Organizations & group practices 3
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
- Austin, TX
- NPI 1396354080
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1407358781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 S 40 DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 S 40 DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418820",
"telephone_number": "314-692-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2017022373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.