Individual provider Active NPI

Katie Lynn Robles

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1841970498
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121342 Issued in TX
Practice address
1020 Central Pkwy S
San Antonio, TX 78232-5021
Phone
(210) 798-2273
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 121342 TX Primary

Addresses

Primary practice location

1020 Central Pkwy S
San Antonio, TX 78232-5021

Mailing address

1020 Central Pkwy S
San Antonio, TX 78232-5021
Phone (210) 798-2273

Other names 1

  • Katie Lynn Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507002790 TX Practitioner - Qualified Speech Language Pathologist 1254858889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Pediatric Therapy LLC CurrentSince May 1, 2025 Accepting new patients
Millennium Talk Corp Speech-Language Pathologist Past Accepting new patients

Locations

18 Scenic Loop Rd
#200D
Boerne, TX 78006
Phone (817) 800-4431

18 Scenic Loop Rd
Ste 200D
Boerne, TX 78006
Phone (830) 755-0098

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1841970498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-798-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-798-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KELLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.