Kelsie Gentry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110734 Issued in TX

Practice address

800 N Jim Wright Fwy BLDG 2
White Settlement, TX 76108

Phone

(817) 900-8441

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1770129306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JIM WRIGHT FWY BLDG 2",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761081068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JIM WRIGHT FWY BLDG 2",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "76108",
            "telephone_number": "817-900-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10813 Thorngrove Ct",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760526109",
            "country_code": "US",
            "telephone_number": "615-504-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "KELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel Duval
• Julie Simone Ehmsen, PT, DPT
• Christina Michelle79 Ethridge, LMT
• Fort Worth West Side LTD (West Side Campus of Care)
• Rebecca Gedeon, LABOR DOULA
• Anthony Giang, PHARMD
• Lesley Gorley
• Delia Harris, M.S., CCC-SLP
• Kerri Ann Clark Horsley, LAT, ATC
• Hospice of the West, LP

• Speech-Language Pathologist in White Settlement, TX
• Providers in White Settlement, 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 Nov 19, 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.

Verify at the official NPI Registry.