Individual provider Active NPI

Kaitlyn Nicole Guice, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Rockwall, TX
National Provider Identifier
1548043490
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119883 Issued in TX
Practice address
1018 Ridge Rd
Rockwall, TX 75087-4200
Phone
(469) 458-9021
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119883 TX Primary

Addresses

Primary practice location

1018 Ridge Rd
Rockwall, TX 75087-4200

Mailing address

1759 W Campbell Rd Apt 1306
Garland, TX 75044-2308
Phone (318) 218-0192

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

LicenseStateTypeSpecialty
119883TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Transformations, LLC PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1548043490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 W CAMPBELL RD APT 1306",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442308",
            "telephone_number": "318-218-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874200",
            "telephone_number": "469-458-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICE",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.