Kelsi Noel Meeker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242004466 Issued in IL

Practice address

208 N West Ave
Mason City, IL 62664-1066

Phone

(217) 482-3269

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelsi Noel Ubbenga Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1518485580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23057 ARMINGTON RD",
            "city": "DELAVAN",
            "state": "IL",
            "postal_code": "617341540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N WEST AVE",
            "city": "MASON CITY",
            "state": "IL",
            "postal_code": "626641066",
            "telephone_number": "217-482-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "KELSI",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242004466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "242004466",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "UBBENGA",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Michael Kane, DDS
• Julianne Annette Manuel, RPH
• Mason City Area Nursing Home Association, Inc (Mason City Area Nursing Home)
• Mason City Area Nursing Home Association, Inc. (Mason City Area Nursing Home)
• Mason Hospital District (Mason City Medical Associates)
• Zachary Moore
• Marion V Ring, D.C.
• Madelyn Paige Thomas, MS, CCC-SLP/L
• Linda Tibbs

• Speech-Language Pathologist in Mason City, IL
• Providers in Mason City, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.