Kelsey Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112707 Issued in TX

Practice address

30362 Crepe Myrtle CT
Daphne, AL 36527-8613

Phone

(251) 422-6549

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1912420381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30362 CREPE MYRTLE CT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365278613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30362 CREPE MYRTLE CT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365278613",
            "telephone_number": "251-422-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Augustus Smith, MD
• Ashton Briana Smith
• Charlotte Anne Smith, DMD
• Grant Kendall Smith, D.C.
• Kathryn Hope Smith, MS, OTR/L
• Najahh Lavon Smith, REGISTERED NURSE
• Nicholas Keaton Smith, PT, DPT
• Susan Smith, CRNP
• Tara Smith, PHARMD
• Taylor Smith

• Speech-Language Pathologist in Daphne, AL
• Providers in Daphne, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.