Kelsey Ebinger, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

368 Quarry Loop Rd
Mount Juliet, TN 37122-7206

Phone

(161) 544-3444

NPI assigned

Mar 23, 2016

Last updated

Feb 3, 2022By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magic Moments Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Gallatin, TN
  • NPI 1225879133
  NPD Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1841652419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SKIRVING TER",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667620",
            "telephone_number": "615-516-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "161-544-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBINGER",
        "first_name": "KELSEY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricar C. Dy, OTR/L
• Jacob Daniel Dye, M.S.
• Eadc LLC
• Wilhelmina Earley
• Lauren Easter
• James Wilder Eby, M.D.
• Ryan Christian Ecken
• Shasta Lynn Edmonds
• Christine Egbonim, DDS
• Maddy Ann Egner

• Speech-Language Pathologist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.