Individual provider Active NPI

Kelly Elizabeth Smith, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Temple, TX
National Provider Identifier
1972134716
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116461 Issued in TX
Practice address
320 Green Hollow Dr
Temple, TX 76502-6126
Phone
(254) 780-9658
Fax
(254) 780-9663
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 116461 TX Primary

Addresses

Primary practice location

320 Green Hollow Dr
Temple, TX 76502-6126

Mailing address

370 Green Hollow Dr
Temple, TX 76502-6126
Phone (254) 780-9658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025000362 TX Practitioner - Qualified Speech Language Pathologist 0143753483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Works, PLLC Speech-Language Pathologist CurrentSince Jun 8, 2026 Accepting new patients
Barr Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Sep 10, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince Feb 2, 2020 Accepting new patients
Barr Physical Therapy, P.C. Speech-Language Pathologist PastSince Feb 2, 2020 Accepting new patients

Locations

1102 Winkler Ave
Killeen, TX 76542
Phone (254) 634-8505

370 Green Hollow Dr
Temple, TX 76502
Phone (254) 760-5830

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 4

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1972134716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GREEN HOLLOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026126",
            "telephone_number": "254-780-9658",
            "fax_number": "254-780-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GREEN HOLLOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026126",
            "telephone_number": "254-780-9658",
            "fax_number": "254-780-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.