Kelsey Lee Fountain, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

500 N 3Rd St
Homer, LA 71040-3440

Phone

(318) 927-2496

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

Practice roles

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.

• Claiborne Parish School Board

  • Local Education Agency (LEA)
  • Homer, LA
  • NPI 1659588291
  NPD (past)
• Hope Landing, Inc.

  • Physical Therapy Assistant
  • El Dorado, AR
  • NPI 1487851937
  NPD (past)
• Hope Landing, Inc.

  • Speech-Language Pathologist
  • El Dorado, AR
  • NPI 1508967449
  NPD (past)

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1861920704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403440",
            "telephone_number": "318-927-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Hope Landing Rd",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717308725",
            "country_code": "US",
            "telephone_number": "870-862-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "KELSEY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Dyer
• Evergreen Presbyterian Ministries, Inc.
• Larry Don Ezell, MD
• Family Medical Clinic of Homer, la Inc
• Kensel Ferguson
• Laura K Gearhart, PHARMD
• Steve R Grayson, O.T.R.
• Donald Scott Haynes, M.D.
• Maria McGuire Haynes, M.D.
• William Mark Haynes, M.D.

• All providers in Homer, LA
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.