Active NPI
Kelsey Kyle Harris, M.S., CF-SLP
- Speech-Language Pathologist
- Irvine, CA
National Provider Identifier
1447798418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- RPE10901
- Practice address
- 4010 Barranca Pkwy
Irvine, CA 92604-4711 - Phone
- (949) 857-6051
- Fax
- (949) 857-0941
- NPI assigned
- Feb 9, 2017
- Last updated
- Feb 9, 2017
- 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 | RPE10901 | CA | Primary |
Addresses
Primary practice location
4010 Barranca Pkwy
Irvine, CA 92604-4711
Mailing address
47 Urey CT
Irvine, CA 92617-4045
Phone (661) 714-2994
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPE10901 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1447798418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 UREY CT",
"city": "IRVINE",
"state": "CA",
"postal_code": "926174045",
"telephone_number": "661-714-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 BARRANCA PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044711",
"telephone_number": "949-857-6051",
"fax_number": "949-857-0941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KELSEY",
"middle_name": "KYLE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "RPE10901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.