Active NPI
Kay D. Davis, M.A.
- Speech-Language Pathologist
- Kenner, LA
National Provider Identifier
1003930975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 552
- Practice address
- 3725 Lake Trail Dr
Kenner, LA 70065-3313 - Phone
- (504) 616-7710
- Fax
- (504) 885-3225
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 552 | LA | Primary |
Addresses
Primary practice location
3725 Lake Trail Dr
Kenner, LA 70065-3313
Mailing address
3725 Lake Trail Dr
Kenner, LA 70065-3313
Phone (504) 616-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068811 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 552 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003930975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 LAKE TRAIL DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700653313",
"telephone_number": "504-616-7710",
"fax_number": "504-885-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 LAKE TRAIL DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700653313",
"telephone_number": "504-616-7710",
"fax_number": "504-885-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAY",
"middle_name": "D.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068811",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.