Individual provider Active NPI

Kelsea Sherrick, SLP

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1922654995
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
200710 Issued in AR
Practice address
1500 N Mississippi St
Little Rock, AR 72207-5851
Phone
(501) 217-8600
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 200710 AR Primary

Addresses

Primary practice location

1500 N Mississippi St
Little Rock, AR 72207-5851

Mailing address

1500 N Mississippi St
Little Rock, AR 72207-5851
Phone (501) 217-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107002411 AR Practitioner - Qualified Speech Language Pathologist 1658805064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200710ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCT, Inc. CurrentSince Oct 1, 2024 Accepting new patients
MCT, Inc. Speech-Language Pathologist CurrentSince Oct 1, 2024 Accepting new patients

Locations

10618 Breckenridge Dr
Little Rock, AR 72211
Phone (501) 217-8600

1500 N Mississippi St
Little Rock, AR 72207
Phone (501) 217-8600

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1922654995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N MISSISSIPPI ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075851",
            "telephone_number": "501-217-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N MISSISSIPPI ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075851",
            "telephone_number": "501-217-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRICK",
        "first_name": "KELSEA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.