Taryn Lacour Kelm, SLP-CFY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116700 Issued in TX

Practice address

16110 Constitution LN
Friendswood, TX 77546-3171

Phone

(409) 651-6272

NPI assigned

Aug 12, 2020

Last updated

Sep 20, 2020By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1952912057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 CONSTITUTION LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463171",
            "telephone_number": "409-651-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 CONSTITUTION LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463171",
            "telephone_number": "409-651-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 W Broad St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706014297",
            "country_code": "US",
            "telephone_number": "337-310-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOUR KELM",
        "first_name": "TARYN",
        "credential": "SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.