Individual provider Active NPI

Kelsey R Naber, SLP

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1871937052
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2013045568 Issued in MO
Practice address
1170 Timber Run Dr
Saint Louis, MO 63146
Phone
(314) 469-0606
Fax
(314) 469-3294
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2012041760 MO
Speech-Language Pathologist 235Z00000X 2013045568 MO Primary

Addresses

Primary practice location

1170 Timber Run Dr
Saint Louis, MO 63146

Mailing address

7354 Colgate Ave
University City, MO 63130-2931
Phone (314) 339-7732

Other practice location 1

1177 N Warson Rd
Saint Louis, MO 63132-1810
Phone (314) 569-2211

Other practice location 2

14733 Clayton Rd
Ballwin, MO 63011-2660
Phone (314) 339-7732

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

LicenseStateTypeSpecialty
2012041760MOMDSpeech-Language Pathologist
2013045568MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Arc Inc Speech-Language Pathologist Past Accepting new patients
Autism and Behavioral Spectrum LLC Past Accepting new patients

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1871937052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7354 COLGATE AVE",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631302931",
            "telephone_number": "314-339-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 TIMBER RUN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-469-0606",
            "fax_number": "314-469-3294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 N Warson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631321810",
            "country_code": "US",
            "telephone_number": "314-569-2211",
            "fax_number": "314-569-0778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14733 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112660",
            "country_code": "US",
            "telephone_number": "314-339-7732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABER",
        "first_name": "KELSEY",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2012041760",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013045568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.