Active NPI
Kelsey Rodriguez
- Speech-Language Pathologist
- Boerne, TX
National Provider Identifier
1902362726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118291
- Practice address
- 28604 Interstate 10 W
Boerne, TX 78006-9142 - Phone
- (940) 642-5641
- NPI assigned
- Feb 17, 2019
- Last updated
- Sep 12, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | 118291 | TX | Primary |
Addresses
Primary practice location
28604 Interstate 10 W
Boerne, TX 78006-9142
Mailing address
2825 Valley View LN Ste 200
Farmers Branch, TX 75234-4955
Phone (214) 736-8376
Other practice location 1
2825 Valley View Ln Ste 200
Farmers Branch, TX 75234-4955
Phone (214) 736-8376
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 |
|---|---|---|---|
| 118291 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schram-Jamerson, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1550361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1902362726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 VALLEY VIEW LN STE 200",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752344955",
"telephone_number": "214-736-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28604 INTERSTATE 10 W",
"city": "BOERNE",
"state": "TX",
"postal_code": "780069142",
"telephone_number": "940-642-5641"
}
],
"practiceLocations": [
{
"address_1": "2825 Valley View Ln Ste 200",
"address_purpose": "LOCATION",
"city": "Farmers Branch",
"state": "TX",
"postal_code": "752344955",
"country_code": "US",
"telephone_number": "214-736-8376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KELSEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-17",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.