Kendra Nicole Patton, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

857-PROV Issued in SD

Practice address

625 9TH St
Rapid City, SD 57701-2686

Phone

(605) 484-7800

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speech Happy, LLC

  • Early Intervention Provider Agency
  • Rapid City, SD
  • NPI 1447900337

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1093363293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 W HIGHWAY 44",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012686",
            "telephone_number": "605-484-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KENDRA",
        "middle_name": "NICOLE",
        "credential": "CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "857-PROV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendra.patton@k12.sd.us",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "625 9th St",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577012686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gelynn Passmore
• Lance Patenode
• Rachel A Patenode, FNP, PMHNP-BC
• Sujan Pathak, MD
• Alan Ross Patterson, PHARMD
• Marie S Patton, CNP
• Paul a Bormes MD PC
• Paul M. Rezich, DDS, PC
• Jenifer Lynn Paul, DPT
• John Paul, MD

• All providers in Rapid City, SD
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.