Active NPI
Kiersten Julia Dunn, SLP-CCC
- Speech-Language Pathologist
- Carrollton, TX
National Provider Identifier
1497496533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119205
- Practice address
- 1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904 - Phone
- (972) 237-0100
- NPI assigned
- Apr 5, 2022
- 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 | 119205 | TX | Primary |
Addresses
Primary practice location
1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904
Mailing address
15635 Mildred PL Apt 2507
Addison, TX 75001-6889
Phone (512) 705-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119205 | Other | TX | TEXAS LICENSURE |
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 |
|---|---|---|---|
| 119205 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKC Holdings LLC | Current | Accepting new patients | |
| CKC Holdings LLC | Current | Accepting new patients |
Locations
1000 W Crosby Rd
Ste 136
Carrollton, TX 75006
Phone (972) 237-0100
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.
-
- Home Health Agency
- Arlington, TX
- NPI 1023310901
-
- Behavior Analyst
- Carrollton, TX
- NPI 1538815055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1497496533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15635 MILDRED PL APT 2507",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016889",
"telephone_number": "512-705-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CROSBY RD STE 136",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066904",
"telephone_number": "972-237-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KIERSTEN",
"middle_name": "JULIA",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSURE",
"identifier": "119205",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.