1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Speech Language Pathologist
  6. NPI Profile

KELLY DANIELSON
NPI 1265261218
Speech-Language Pathologist in Las Vegas, NV

Active since July 29, 2024Accepts Medicare Assignment
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130(702) 515-4009 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Kelly Danielson NPPES

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

KELLY DANIELSON (NPI 1265261218) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Nevada (SP-4047) and active in the NPI registry since July 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1265261218
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY DANIELSON
Location Address7425 W AZURE DR STE 140Las Vegas, NV 89130-4425
Mailing Address9344 Bright Blue Sky AveLas Vegas, NV 89166-3787
Phone(702) 515-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2024
Last NPPES UpdateSeptember 7, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1265261218 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 NV · SP-4047
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.
7425 W AZURE DR STE 140, Las Vegas, NV 89130
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 and accepts Medicare assignment

Kelly Danielson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759860059
PECOS Enrollment IDI20260206003011

Medicare Billing Reassignment

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

Speakeasy Therapy Services, LLC
Same address
Speech-Language Pathologist
7425 W AZURE DR STE 140
Las Vegas, NV 89130
  • Reassigned Medicare billing, Nevada enrollment
  • 33 clinicians in this Medicare group
NPI 1114315801 (702) 515-4009

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 20

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

JONATHAN PAUL
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
SPEAKEASY THERAPY SERVICES, LLC
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
CHA-ANYA GLOVER
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
SARAH RICHARD
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
APRIL D ROWLETT MS
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
EMILY FUQUAY
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
JEROME SAYAS AMIGO OTD
Occupational Therapist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009
DEVIN FISHER
Speech-Language Pathologist
7425 W AZURE DR STE 140
LAS VEGAS, NV 89130
Clark County (702) 515-4009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Danielson's NPI number?

The NPI number for Kelly Danielson is 1265261218. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Kelly Danielson located?

Kelly Danielson practices at 7425 W Azure Dr Ste 140, Las Vegas, NV 89130. The listed phone number is (702) 515-4009.

What is Kelly Danielson's specialty?

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

Is Kelly Danielson enrolled in Medicare?

Yes. Kelly Danielson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Danielson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Danielson reassigns Medicare benefits to Speakeasy Therapy Services, LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Danielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Danielson was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.