Kayla Michelle Medrano, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116797 Issued in TX

Practice address

1736 Katyland Dr
Katy, TX 77493-1751

Phone

(936) 553-1540

NPI assigned

Jul 13, 2020

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katy Independent School District

  • Developmental Disabilities Clinic/Center
  • Katy, TX
  • NPI 1851440549

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1649898925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 KATYLAND DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931751",
            "telephone_number": "936-553-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 KATYLAND DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931751",
            "telephone_number": "936-553-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "KAYLA",
        "middle_name": "MICHELLE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPEECH LANGUAGE PATHOLOGIST INTERN",
            "identifier": "116797",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medline Pharmacy of Katy LLC (Medline Pharmacy of Katy)
• Medplex Living Center Inc
• Medplus Care LLC
• Medpsych
• Francisco Daniel Medrano, MD
• Medspring of Texas PA
• Medspring of Texas, PA (MedSpring)
• Medsurg a/R Billing Inc. (South Texas Neuropathy and Pain)
• Melissa Meek
• Leslie Lynne Meeks, LCSW

• Speech-Language Pathologist in Katy, TX
• Providers in Katy, 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 Jul 13, 2020; 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.