Kelsey Wickre, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60411992 Issued in WA

Practice address

1145 Mt Baker Hwy
Bellingham, WA 98226-8769

Phone

(360) 756-1495

NPI assigned

Nov 2, 2013

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Catalyst Therapies LLC

  • Speech-Language Pathologist
  • Bellingham, WA
  • NPI 1306346481
  Medicare reassignment
• Connections Speech and Language Pathology, LLC

  • Speech-Language Pathologist
  • Bellingham, WA
  • NPI 1063530640
  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1811326697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MT BAKER HWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268769",
            "telephone_number": "360-756-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MT BAKER HWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268769",
            "telephone_number": "360-756-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKRE",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60411992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Health OT Northwest
• Maddison K Wians
• Sharon Lee Wickham-Foxwell
• Lori Wickham
• Ellie Wicklund
• Steven William Widman, DDS
• Cassandra Renee Wiebe, LMP
• Madison Wieking
• Michelle Wiklund, M.A., CF-SLP
• Elizabeth E Wilbur, CPC

• Speech-Language Pathologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.