Active NPI
Kelsey Reed
- Speech-Language Pathologist
- Festus, MO
National Provider Identifier
1619665700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2023026216
- Practice address
- 1371 YMCA Dr
Festus, MO 63028-2617 - Phone
- (636) 465-0726
- NPI assigned
- Apr 26, 2023
- Last updated
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2023026216 | MO | Primary |
Addresses
Primary practice location
1371 YMCA Dr
Festus, MO 63028-2617
Mailing address
1371 YMCA Dr
Festus, MO 63028-2617
Phone (636) 465-0726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2023026216 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom of Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1371 Ymca Dr
Festus, MO 63028
Phone (636) 465-0726
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1619665700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 YMCA DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282617",
"telephone_number": "636-465-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 YMCA DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282617",
"telephone_number": "636-465-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2023026216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.