Kaelyn K Gross

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116496 Issued in TX

Practice address

15820 Addison Rd
Addison, TX 75001-3549

Phone

(866) 919-3240

NPI assigned

Jan 28, 2020

Last updated

Jan 28, 2020By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1790316800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 AMESBURY DR APT 2204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 ADDISON RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013549",
            "telephone_number": "866-919-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Amesbury Dr Apt 2204",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752063447",
            "country_code": "US",
            "telephone_number": "214-240-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KAELYN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teairra Niangel Grice
• Zhawantae Griffin-Maliti, PH.D.
• Elizabeth Grigerek, SLP
• Emma Grimes, COTA
• Jayne T Grissett, LPC
• Guardian Neurology, PLLC
• Valeria Guerra Leal
• Shanae Rachelle Gulley
• Laura Celeste Hagan, MS, CCC-SLP
• Robert Douglas Halbach, D.D.S.

• Speech-Language Pathologist in Addison, TX
• Providers in Addison, 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 Jan 28, 2020; 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.