Keli R Thompson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104539 Issued in TX

Practice address

312 Euclid Ave
Panhandle, TX 79068

Phone

(806) 274-1342

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Keli Thompson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panhandle Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Panhandle, TX
  • NPI 1205183282
  NPD (past) Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1972860906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790680312",
            "telephone_number": "806-274-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 EUCLID AVE",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "79068",
            "telephone_number": "806-274-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELI",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELI",
            "last_name": "THOMPSON",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• McCade Lee Smith, EMT-P
• St. Ann's Nursing Home
• Staffing Network Solutions
• Summit Life Counseling, PLLC
• Daven Elizabeth Terrell, CPM, LM
• Casey White

• Speech-Language Pathologist in Panhandle, TX
• Providers in Panhandle, 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 Apr 16, 2012; 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.