Active NPI
Kelsey Boring, SLP
- Speech-Language Pathologist
- Madisonville, TN
National Provider Identifier
1720649585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6006
- Practice address
- 103 College St S
Madisonville, TN 37354-1462 - Phone
- (423) 420-9678
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Tellico Plains, TN
- NPI 1902079817
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Board of Education | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6006 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
103 College St S
Madisonville, TN 37354-1462
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006 | Other | TN | TN HEALTH LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2019.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1720649585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374140114",
"telephone_number": "423-622-1551",
"fax_number": "877-856-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COLLEGE ST S",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373541462",
"telephone_number": "423-420-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORING",
"first_name": "KELSEY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN HEALTH LICENSE",
"identifier": "6006",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.