Individual provider Active NPI

Kelly Lee Fehrs, MS,CCC-SLP

  • Speech-Language Pathologist
  • Keller, TX
National Provider Identifier
1932768256
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13396 Issued in TX
Practice address
200 Country Brook Dr
Keller, TX 76248-2125
Phone
(682) 593-2742
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 13396 TX Primary

Addresses

Primary practice location

200 Country Brook Dr
Keller, TX 76248-2125

Mailing address

7609 Emerson LN
Flower Mound, TX 75022-6063

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13396TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Speech-Language Pathologist CurrentSince Sep 9, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Sep 9, 2024 Accepting new patients
Icare Rehab, LLC CurrentSince Nov 28, 2021 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

2820 Wind River Ln
Denton, TX 76210
Phone (844) 213-5600

650 Parker Sq
Flower Mound, TX 75028
Phone (214) 513-0333

200 Country Brook Dr
Keller, TX 76248
Phone (682) 593-2742

Organizations & group practices 3

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1932768256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 EMERSON LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTRY BROOK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482125",
            "telephone_number": "682-593-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRS",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "13396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.