Kelsey Stauffer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24475 Issued in CA

Practice address

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005

Phone

(512) 399-0064

NPI assigned

Oct 18, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA, FL, PA, NY4 enrollments

Enrollment records 4

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA, FL

  Medicare reassignment Care Compare group NPD
• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  NY, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1699226340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 CHEVY CHASE DRIVE",
            "address_2": "SUITE 300 - #325",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521599",
            "telephone_number": "512-399-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005",
            "telephone_number": "512-399-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Chevy Chase Drive",
            "address_2": "Suite 300 - #325",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521599",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Hudson St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100132993",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Juniper St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191072703",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Statland
• John Rigby Staton
• Stacey Miriam Stauber, M.D.
• Loretta Ann Staudt, PT
• Heather Jeanine Staufenberg, PSYD
• Jennifer Rose Stautzenberger
• Anne M. Staveren, MD
• Elvia Stavropoulos, M.D.
• Sophia Lim Stavros, MD
• Stella Christina Stavrou, DDS

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.