KAYLEE KIMMEL SISSON
NPI 1194451427
Speech-Language Pathologist in Republic, MO

Q: What is Kaylee Sisson's NPI number?

The NPI number for Kaylee Sisson is 1194451427. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Q: What is Kaylee Sisson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaylee Sisson was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2022

2673 E SAWYER RD, REPUBLIC, MO 65738(417) 324-7646 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kaylee Kimmel Sisson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLEE KIMMEL SISSON (NPI 1194451427) is an individual speech-language pathologist provider in Republic, Missouri, licensed in Missouri (2022029693) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1194451427

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKAYLEE KIMMEL SISSON

Location Address2673 E SAWYER RDRepublic, MO 65738-7574

Mailing Address4537 E Pearson Meadow DrSpringfield, MO 65802-6242 · (417) 849-0302

Phone(417) 324-7646

Sole ProprietorNo

Enumeration DateJuly 28, 2022

NPPES CertifiedJuly 28, 2022

✔ NPI 1194451427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MO · 2022029693

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2673 E SAWYER RD, Republic, MO 65738

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylee Kimmel Sisson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kaylee Sisson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dynamic Strides Therapy Inc

Same address

Physical Therapist

2673 E SAWYER RD
Republic, MO 65738

Reassigned Medicare billing, Missouri enrollment
3 clinicians in this Medicare group

NPI 1104378561 (479) 422-1183

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER L BERRYESSA COTA/L

Occupational Therapy Assistant