Active NPI
Kaysi Valverde, SLP
- Speech-Language Pathologist
- Grovetown, GA
National Provider Identifier
1427616309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET002889
- Practice address
- 5176 Wrightsboro Rd
Grovetown, GA 30813-2802 - Phone
- (706) 842-3330
- Fax
- (706) 426-1168
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP010988 | GA | |
| Speech-Language Pathologist | 235Z00000X | PCET002889 | GA | Primary |
Addresses
Primary practice location
5176 Wrightsboro Rd
Grovetown, GA 30813-2802
Mailing address
5176 Wrightsboro Rd
Grovetown, GA 30813-2802
Phone (706) 842-3330
Other practice location 1
1120 15th St
Augusta, GA 30912-2802
Phone (706) 721-8623
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@therapytrailsga.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET002889 | GA | MD | Speech-Language Pathologist |
| SLP010988 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Center, Inc. | Current | Accepting new patients | |
| Au Medical Center, Inc | Current | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
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.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Community/Retail Pharmacy
- Augusta, GA
- NPI 1487901476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1427616309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5176 WRIGHTSBORO RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308132802",
"telephone_number": "706-842-3330",
"fax_number": "706-426-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5176 WRIGHTSBORO RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308132802",
"telephone_number": "706-842-3330",
"fax_number": "706-426-1168"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309122802",
"country_code": "US",
"telephone_number": "706-721-8623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALVERDE",
"first_name": "KAYSI",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010988",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET002889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@therapytrailsga.com",
"affiliation": "N",
"endpointDescription": "Practice Office Email",
"address_1": "5176 Wrightsboro Rd",
"city": "Grovetown",
"state": "GA",
"country_code": "US",
"postal_code": "308132802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.