Individual provider Active NPI

Casey Kley, M.S., CF-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1841507803
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP6958 Issued in AZ
Practice address
1340 N Recker Rd
Unit 112
Mesa, AZ 85205-4425
Phone
(248) 766-4957
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 TSLP6958 AZ Primary

Addresses

Primary practice location

1340 N Recker Rd
Unit 112
Mesa, AZ 85205-4425

Mailing address

1340 N Recker Rd
Unit 112
Mesa, AZ 85205-4425
Phone (248) 766-4957

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP6958AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1841507803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N RECKER RD",
            "address_2": "UNIT 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054425",
            "telephone_number": "248-766-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N RECKER RD",
            "address_2": "UNIT 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054425",
            "telephone_number": "248-766-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEY",
        "first_name": "CASEY",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.