Kaylee Brooke O'Brien, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2022041817 Issued in MO

Practice address

130 Main St Ste 7
Festus, MO 63028-1953

Phone

(636) 465-0726

Fax

(636) 465-0747

NPI assigned

Dec 8, 2022

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

Practice roles

Locations

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.

• Freedom of Speech Therapy LLC

  • Clinic/Center
  • Festus, MO
  • NPI 1114670742

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1952012197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 7",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281953",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 7",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281953",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KAYLEE",
        "middle_name": "BROOKE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022041817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nikodem, D.D.S.
• Noks Corporation PC
• Brooklynn Nolfo, RDH
• Katherine Norrick, MSN-FNP, PT, DPT
• Paden Norrick, DPT
• John T. O'Connell
• Timothy R O'Leary, M.D.
• Jason R Oberkfell, D.D.S.
• Hannah Oberle
• Mark Oberle, LPC

• Speech-Language Pathologist in Festus, MO
• Providers in Festus, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.