Individual provider Active NPI

Kaitlyn Smith, SLP-CCC

  • Speech-Language Pathologist
  • Wylie, TX
National Provider Identifier
1750260428
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
123092 Issued in TX
Practice address
709 Business Way Ste 120
Wylie, TX 75098-3961
Phone
(972) 559-4457
Fax
(214) 377-4244
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 123092 TX Primary

Addresses

Primary practice location

709 Business Way Ste 120
Wylie, TX 75098-3961

Mailing address

PO Box 1001
Wylie, TX 75098-3034
Phone (972) 559-4457

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
123092TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dux2 LLC CurrentSince Sep 3, 2025 Accepting new patients
The ABA Spot LLC PastSince Sep 3, 2025 Accepting new patients

Locations

709 Business Way
Ste 120
Wylie, TX 75098
Phone (214) 483-3170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1750260428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983034",
            "telephone_number": "972-559-4457",
            "fax_number": "214-377-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BUSINESS WAY STE 120",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983961",
            "telephone_number": "972-559-4457",
            "fax_number": "214-377-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.