Individual provider Active NPI

Kayelee Frazao, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Clinton, SC
National Provider Identifier
1871041327
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6111 Issued in SC
Practice address
100 Old Colony Rd
Clinton, SC 29325-9317
Phone
(864) 833-0800
NPI assigned
Sep 13, 2016
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 6111 SC Primary

Addresses

Primary practice location

100 Old Colony Rd
Clinton, SC 29325-9317

Mailing address

4 Whiffletree Dr
Simpsonville, SC 29680-6639

Other names 1

  • Kayelee Meyer Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6111SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurens School District 56 CurrentSince Jan 12, 2025 Accepting new patients
Fundamental Communications Speech-Language Pathologist PastSince Sep 17, 2023 Accepting new patients

Locations

100 Old Colony Rd
Clinton, SC 29325
Phone (864) 833-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1871041327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHIFFLETREE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD COLONY RD",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293259317",
            "telephone_number": "864-833-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZAO",
        "first_name": "KAYELEE",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYELEE",
            "last_name": "MEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.