Kendall Davis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-5205 Issued in MS

Practice address

1207 Cherokee St
Pascagoula, MS 39581-2403

Phone

(228) 224-9359

NPI assigned

Dec 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Blue Heron Speech Therapy, PLLC

  • Rehabilitation Clinic/Center
  • Pascagoula, MS
  • NPI 1962329789
  NPD (past) Authorized official

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1134085459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CHEROKEE ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395812403",
            "telephone_number": "228-224-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CHEROKEE ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395812403",
            "telephone_number": "228-224-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENDALL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Daniel, MD
• Emily H Daquioag
• David W. Turner, D.C., P.a.
• Johnathan Nathanael Davis, MD
• Joseph J Davis, A.T.,C.
• Sherrie Ann Dean, NP
• Wanda Jane Dedeaux, FNP
• Jennifer S Delaney-Davis, NP-C
• Nestor Karim Delgado, M.D.
• Tiffany Dennis, APRN, PMHNP

• All providers in Pascagoula, MS
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.