Kassidy Shaye Chandler, MS., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4257 Issued in AL

Practice address

1347 W Main St
Dothan, AL 36301-1309

Phone

(334) 618-1764

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kassidy Shaye Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Purely Speech, LLC

  • Hearing and Speech Clinic/Center
  • Dothan, AL
  • NPI 1134907488
  NPD
• Sumlar Therapy Service, Inc.

  • Physical Therapist
  • Ozark, AL
  • NPI 1265574990

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1578093159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011309",
            "telephone_number": "334-618-1764",
            "fax_number": "334-746-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011309",
            "telephone_number": "334-618-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KASSIDY",
        "middle_name": "SHAYE",
        "name_prefix": "Mrs.",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16338",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "WILLIAMS",
            "middle_name": "SHAYE",
            "prefix": "MISS",
            "credential": "MS., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Steven Chancey, CRNA
• Lori Lynn Chancy, MS, LPC
• Shiva Aravamudan Chandar
• Bradley James Chandler, CRNA
• Chad Chandler, CRNA
• Susan Michelle Chandler, CRNP
• Tosha Michelle Chandler, CRNA
• Shruti Chandna, DDS, MS
• Yen Shu Chang Xu
• Lebnitz Joseph Charelus

• Speech-Language Pathologist in Dothan, AL
• Providers in Dothan, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.