Individual provider Active NPI

Kelci Schutz, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Laramie, WY
National Provider Identifier
1659048940
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1244 Issued in WY
Practice address
1771 Centennial Dr
Laramie, WY 82070-8403
Phone
(307) 742-3571
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CFY-1244 WY
Speech-Language Pathologist 235Z00000X SP-1244 WY Primary

Addresses

Primary practice location

1771 Centennial Dr
Laramie, WY 82070-8403

Mailing address

1771 Centennial Dr Ste 220
Laramie, WY 82070-8404
Phone (307) 742-3571

Other practice location 1

326 Parsley Blvd
Cheyenne, WY 82007-1014
Phone (307) 635-2991 ext. 19

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 Science

State licenses

LicenseStateTypeSpecialty
CFY-1244WYMDSpeech-Language Pathologist
SP-1244WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Preschool & Day Care Center Speech-Language Pathologist CurrentSince Jul 3, 2022 Accepting new patients
Stride Learning Center PastSince Aug 1, 2021 Accepting new patients
Developmental Preschool and Day Care Center PastSince Jul 3, 2022 Accepting new patients

Locations

1771 Centennial Dr
Ste 220
Laramie, WY 82070
Phone (307) 742-3571

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1659048940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 CENTENNIAL DR STE 220",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708404",
            "telephone_number": "307-742-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CENTENNIAL DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708403",
            "telephone_number": "307-742-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Parsley Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820071014",
            "country_code": "US",
            "telephone_number": "307-635-2991 x19",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "KELCI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "CFY-1244",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.