Katie Netherland Price – Speech-Language Pathologist

Key facts

NPI: 1134848815
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 8647 (LA)
Practice address: 144 Thad Bailes Rd
Leesville, LA 71446-2832
Phone: (337) 239-6578
NPI assigned: Aug 25, 2022
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
8647	LA	MD	Mental Health Counselor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	8647	LA	Yes

Addresses

Primary practice location

144 Thad Bailes Rd
Leesville, LA 71446-2832

Mailing address

535 Highway 1206
Deville, LA 71328-9131

Other practice location 1

1515 Highway 107
Centerpoint, LA 71323
Phone (318) 253-4601

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2024.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1134848815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGHWAY 1206",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713289131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 THAD BAILES RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462832",
            "telephone_number": "337-239-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Highway 107",
            "address_purpose": "LOCATION",
            "city": "Centerpoint",
            "state": "LA",
            "postal_code": "71323",
            "country_code": "US",
            "telephone_number": "318-253-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KATIE",
        "middle_name": "NETHERLAND",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

All providers in Leesville, LA · Speech-Language Pathologist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.