Individual provider Active NPI

Kaylee Sue Drerup, MA CF-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1720806409
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20242821 Issued in OH
Practice address
2080 Citygate Dr
Columbus, OH 43219-3591
Phone
(614) 445-3750
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 20242821 OH Primary

Addresses

Primary practice location

2080 Citygate Dr
Columbus, OH 43219-3591

Mailing address

10711 Weymouth Ave
Powell, OH 43065-7425
Phone (614) 738-0087

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 Arts

State licenses

LicenseStateTypeSpecialty
20242821OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Center of Central Ohio PastSince Oct 6, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1720806409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 WEYMOUTH AVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657425",
            "telephone_number": "614-738-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CITYGATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193591",
            "telephone_number": "614-445-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRERUP",
        "first_name": "KAYLEE",
        "middle_name": "SUE",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "20242821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.