Keli R Thompson – Speech-Language Pathologist

Key facts

NPI: 1972860906
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 104539 (TX)
Practice address: 312 Euclid Ave
Panhandle, TX 79068
Phone: (806) 274-1342
NPI assigned: Apr 16, 2012
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Panhandle Speech Therapy Services PLLC Speech-Language Pathologist · Panhandle, TX · NPI 1205183282

NPD (past) Authorized official SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Panhandle Speech Therapy Services PLLC	Speech-Language Pathologist	Past since Jul 22, 2012	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	104539	TX	Yes

Addresses

Primary practice location

312 Euclid Ave
Panhandle, TX 79068

Mailing address

PO Box 312
Panhandle, TX 79068-0312
Phone (806) 274-1342

Other names

Keli Thompson Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2012.

{
    "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"
        }
    ]
}

Other providers in Panhandle, TX

All providers in Panhandle, TX · Speech-Language Pathologist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.