Kelsea David Johnson, MS. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106667 Issued in TX

Practice address

4248 Kainer Rd
Schulenburg, TX 78956-5007

Phone

(956) 789-6221

NPI assigned

May 9, 2016

Last updated

May 9, 2016By 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

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.

• Endeavor Rehab Center Inc

  dba Fort Worth Physical Therapy

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1104956648
  NPD (past)

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1982050902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 KAINER RD",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789565007",
            "telephone_number": "956-789-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 KAINER RD",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789565007",
            "telephone_number": "956-789-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEA",
        "middle_name": "DAVID",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James-Leach, Inc. (Hirsch Schwartz Community Residence)
• James-Leach, Inc. (Felice Schwartz Community Residence)
• Michele Lero James, M.D.
• Shelley Janecka, OTR
• McKenna Jasek, MS, CCC/SLP
• Diane Marie Jones, O.T.R.
• Braden Kahanek, PHARM D
• Amanda P Klein, FNP
• Kocurek and James Clinic, PLLC
• Ashley Kocurek, FNP-C

• Speech-Language Pathologist in Schulenburg, TX
• Providers in Schulenburg, 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 May 9, 2016; 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.