Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023508058 Individual Practitioner Female Practitioner

Kelsey Leigh Dominy , SLP

Speech-Language Pathologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Kelsey Dominy, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tyler, TX. Practice services are available at 401 E FRONT ST STE 123 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E Front St Ste 123

Tyler, TX 757028250

Telephone 9035312581
Associated Practice Facility / Clinic
🏢 Michele D. Shieldes Pllc Facility NPI 1306693767

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
185 Specialists

Practicing in Tyler, TX (17210 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 111242

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
389353901 (TX)

Secondary Practice Locations

320 Katima Ln

Bullard, TX 757572987

Phone: 9037244820

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Nicole Wiggins , OTR, MOT

Occupational Therapist

NPI 1053935866

Occupational Therapist Registered, Master of Occupational Therapy

Shanda Walker , MS CCC-SLP

Speech-Language Pathologist

NPI 1104297092

MSCCCSLP

Haven Hampton

Speech-Language Pathologist

NPI 1174214456
Melissa Guarisco

Occupational Therapist

NPI 1225519697
Darah Dahlem

Speech-Language Pathologist

NPI 1427570084
Leann Cargile , OTR

Occupational Therapist

NPI 1578758389

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 27, 2020

Registered at 401 E FRONT ST STE 123, TYLER, TX 757028250 (Tel: 9035312581)

NPI Profile Active May 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2018

Registered at 320 KATIMA LN, BULLARD, TX 757572987 (Tel: 9037244820)

📍
Updated Business Mailing Address May 15, 2018

Registered at 320 KATIMA LN, BULLARD, TX 757572987 (Tel: 9037244820)

👤
Provider Name / Credentials Updated May 15, 2018

Recorded as KELSEY DOMINY, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2018

Speech-Language Pathologist (License #111242 in TX)

🟢
Initial NPI Registration & Enumeration May 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023508058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2018
Last Update: January 23, 2023
Sole Proprietor: Yes

Mailing Address

320 Katima Ln

Bullard, TX 757572987

Phone: 9037244820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.