Individual provider Active NPI

Abigail Kibler, CCC-SLP

  • Speech-Language Pathologist
  • Baton Rouge, LA
National Provider Identifier
1063245306
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9468 Issued in LA
Practice address
7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone
(225) 343-4232
Fax
(225) 343-4233
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9468 LA Primary

Addresses

Primary practice location

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006

Mailing address

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone (225) 343-4232

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

State licenses

LicenseStateTypeSpecialty
9468LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Speech and Hearing Foundation, Inc Speech-Language Pathologist CurrentSince Aug 25, 2024 Accepting new patients

Locations

7784 Innovation Park Dr
Baton Rouge, LA 70820
Phone (225) 343-4232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1063245306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232",
            "fax_number": "225-343-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232",
            "fax_number": "225-343-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "ABIGAIL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.