Nicole Marie Kallo, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100873 Issued in TX

Practice address

882 S Fort Hood St
Ste 1050
Killeen, TX 76541-7433

Phone

(254) 554-8100

Fax

(254) 554-8142

NPI assigned

Sep 5, 2007

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1700070414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10340",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470340",
            "telephone_number": "254-554-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 S FORT HOOD ST",
            "address_2": "STE 1050",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417433",
            "telephone_number": "254-554-8100",
            "fax_number": "254-554-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jwill Agency LLC
• Christina Kaczor, LPN
• Thikra J Kadhim, MD
• Daniel Aaron Kahn
• Valerie Ann Kalata, C.N.A.
• Pape Doudou Kante
• Doron Kantor, OTR, OTD
• Navya Deepthi Kanuri, M.D.
• Tabitha Hsiunen Kao, MS
• Kaitlyn Kargakos

• Speech-Language Pathologist in Killeen, TX
• Providers in Killeen, 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 Dec 23, 2008; 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.