Kelly Marie Sonwalt, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2022040180 Issued in MO

Practice address

101 S Washington St
Mexico, MO 65265-2730

Phone

(573) 473-2394

NPI assigned

Apr 10, 2025

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Speech Lab LLC

  dba The Speech Lab

  • Speech-Language Pathologist
  • Mexico, MO
  • NPI 1871230649

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1518752724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 AUDRAIN ROAD 449",
            "city": "RUSH HILL",
            "state": "MO",
            "postal_code": "652802104",
            "telephone_number": "573-582-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652730",
            "telephone_number": "573-473-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONWALT",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2022040180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Tennile Smith, FNP-C
• Charla Jenea Smith, PT
• Kathaleen M Smith, CERTIFIED DOULA
• Lisa Snow, LCSW
• Kristen Soehngen, MD
• SSM Audrain Health Care, Inc (SSM Health St. Mary's Hospital-Audrain)
• SSM Audrain Health Care, Inc (SSM Health St. Mary's Hospital-Audrain)
• SSM Audrain Health Care, Inc. (SSM Health Medical Group- Pediatrics)
• SSM Audrain Health Care, Inc. (SSM Health St. Mary's Hospital - Audrain)
• SSM Audrain Health Care, Inc. (SSM Health Medical Group - Family Medicine)

• Speech-Language Assistant in Mexico, MO
• Providers in Mexico, MO by specialty
• Speech-Language Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.