Active NPI
Kelly Drake Patterson, SLP
- Speech-Language Pathologist
- Cedar Park, TX
National Provider Identifier
1851432645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16869
- Practice address
- 1504 Highland Dr
Cedar Park, TX 78613-6827 - Phone
- (512) 730-0451
- Fax
- (512) 528-1340
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16869 | TX | Primary |
Addresses
Primary practice location
1504 Highland Dr
Cedar Park, TX 78613-6827
Mailing address
1504 Highland Dr
Cedar Park, TX 78613-6827
Phone (512) 730-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051104 02 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16869 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1851432645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 HIGHLAND DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786136827",
"telephone_number": "512-730-0451",
"fax_number": "512-528-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 HIGHLAND DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786136827",
"telephone_number": "512-730-0451",
"fax_number": "512-528-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "KELLY",
"middle_name": "DRAKE",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051104 02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.