Ezekiel Hans Kelsey, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1643 Issued in ID

Practice address

392 Falls Ave
Twin Falls, ID 83301-3373

Phone

(208) 749-3475

Fax

(208) 450-2408

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zeke Hans Kelsey Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clear Source Therapy and Clinical Resource Center LLC

  • Speech-Language Pathologist
  • Twin Falls, ID
  • NPI 1205571668
  Medicare reassignment NPD Authorized official
• Williams Chiropractic Pain Relief Clinic PC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1346435856
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1861686032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SPRING CREEK DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-320-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013373",
            "telephone_number": "208-749-3475",
            "fax_number": "208-450-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Spring Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "83301",
            "country_code": "US",
            "telephone_number": "208-320-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "EZEKIEL",
        "middle_name": "HANS",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861686032",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEKE",
            "last_name": "KELSEY",
            "middle_name": "HANS",
            "credential": "SLS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Kaufman
• Richard Brian Keene, PHD
• Coreen Wistisen Keller, MPT
• Jamie M Kelley-Kinyon, LCSW
• Darren Kellogg, OTR/L
• Nathan Ross Kelsey, M.D.
• Nicholas James Kelsey, OD
• David L Kemp, M.D.
• Jackie L Kennedy, BACHELORS, LPN
• Kenneth C Romney MD Inc

• Speech-Language Pathologist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.