Kelsie Sue Carlquist

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114213 Issued in TX

Practice address

220 N 17TH St
Nederland, TX 77627-5029

Phone

(409) 724-2391

NPI assigned

Oct 4, 2021

Last updated

Oct 22, 2021By 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

Practice roles

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.

• Nederland Isd

  • Local Education Agency (LEA)
  • Nederland, TX
  • NPI 1447385471
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1588336960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 SOUTH AVE",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514821",
            "telephone_number": "409-748-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 17TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275029",
            "telephone_number": "409-724-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLQUIST",
        "first_name": "KELSIE",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C G Patel MD PA
• Jennifer Caltzontzin
• Jason Paul Campbell, PT
• Traci Campbell, PT, DPT
• Cara Counseling & Consulting
• Rita Marie Carriker-Fields, M.D.
• Sharon Sue Carter
• Mary Jane Sunga Castro, MD
• Zachary Slay Cecil, LAT, ATC
• Michael E Cessac, D.D.S.

• Speech-Language Pathologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.