Active NPI
Kelsey R Naber, SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1871937052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2013045568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012041760 | MO | MD | Speech-Language Pathologist |
| 2013045568 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Chesterfield, MO
- NPI 1780131300
-
- Speech-Language Pathologist
- St. Louis, MO
- NPI 1215076898
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.