Active NPI
Kendra Dahl
- Speech-Language Pathologist
- Henderson, NV
National Provider Identifier
1083312870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-3511
- Practice address
- 1481 W Warm Springs Rd Ste 138
Henderson, NV 89014-7641 - Phone
- (702) 800-3391
- Fax
- (702) 608-9026
- NPI assigned
- Feb 21, 2023
- Last updated
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | SP-3511 | NV | Primary |
Addresses
Primary practice location
1481 W Warm Springs Rd Ste 138
Henderson, NV 89014-7641
Mailing address
1481 W Warm Springs Rd Ste 138
Henderson, NV 89014-7641
Phone (702) 800-3391
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-3511 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1481 W Warm Springs Rd
Ste 138
Henderson, NV 89014
Phone (702) 800-3391
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1083312870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 W WARM SPRINGS RD STE 138",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147641",
"telephone_number": "702-800-3391",
"fax_number": "702-608-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 W WARM SPRINGS RD STE 138",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147641",
"telephone_number": "702-800-3391",
"fax_number": "702-608-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-3511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.