Individual provider Active NPI

Kelsea Victoria Alamo, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Copperas Cove, TX
National Provider Identifier
1639729734
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116259 Issued in TX
Practice address
1115 Northern Dancer Dr
Copperas Cove, TX 76522-4789
Phone
(806) 244-0015
NPI assigned
Sep 19, 2019
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 116259 TX Primary

Addresses

Primary practice location

1115 Northern Dancer Dr
Copperas Cove, TX 76522-4789

Mailing address

1707 Caddo Cir
Dalhart, TX 79022-5117
Phone (209) 534-1664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alamok@live.ccisd.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
116259TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1639729734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CADDO CIR",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790225117",
            "telephone_number": "209-534-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 NORTHERN DANCER DR",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224789",
            "telephone_number": "806-244-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMO",
        "first_name": "KELSEA",
        "middle_name": "VICTORIA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alamok@live.ccisd.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1115 Northern Dancer Dr",
            "city": "Copperas Cove",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765224789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Copperas Cove, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.