Individual provider Active NPI

Chelsea Taylor, SLP

  • Speech-Language Pathologist
  • Kerrville, TX
National Provider Identifier
1659667426
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108769 Issued in TX
Practice address
448 Sidney Baker St S Ste 103
Kerrville, TX 78028-5980
Phone
(830) 896-3130
Fax
(830) 896-3132
NPI assigned
Jun 21, 2011
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 108769 TX Primary
Speech-Language Pathologist 235Z00000X S3568 MS

Addresses

Primary practice location

448 Sidney Baker St S Ste 103
Kerrville, TX 78028-5980

Mailing address

448 Sidney Baker St S Ste 103
Kerrville, TX 78028-5980
Phone (830) 896-3130

Other practice location 1

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone (601) 605-6777

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

LicenseStateTypeSpecialty
S3568MSMDSpeech-Language Pathologist
108769TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boerne Just-4-Kids Therapy Past Accepting new patients
Kimberly a. Cochran Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1659667426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S STE 103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285980",
            "telephone_number": "830-896-3130",
            "fax_number": "830-896-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S STE 103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285980",
            "telephone_number": "830-896-3130",
            "fax_number": "830-896-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Avignon Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391575120",
            "country_code": "US",
            "telephone_number": "601-605-6777",
            "fax_number": "601-607-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHELSEA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108769",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.