Kayli Elizabeth Self Pask, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113814 Issued in TX

Practice address

1400 Wilson Creek Pkwy
McKinney, TX 75069-5320

Phone

(469) 302-3241

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayli Elizabeth Self Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• The Warren Center, Inc

  • Multi-Specialty Clinic/Center
  • Richardson, TX
  • NPI 1538214200

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1801295142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILSON CREEK PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750695320",
            "telephone_number": "469-302-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Custer Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750805623",
            "country_code": "US",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASK",
        "first_name": "KAYLI",
        "middle_name": "ELIZABETH SELF",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002088",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLI",
            "last_name": "SELF",
            "middle_name": "ELIZABETH",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick J Parks
• Devalben Kuldeepsinh Parmar, D.D.S.
• Tiffany Marie Parr, OTR
• Seth Michael Parrott, LCSW
• Pars Pharmacy LLC
• Patagonia Dermatology PLLC
• Patel Transitions MHT LLC
• Aarzoo Kalpesh Patel, DPT
• Arisha Patel, MD, MBA
• Chirag Patel

• Speech-Language Pathologist in McKinney, TX
• Providers in McKinney, 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 Aug 31, 2022; 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.