Kelly W. Robertson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4897 Issued in LA

Practice address

4228 Grand Marais Rd
Jennings, LA 70546-8273

Phone

(337) 288-9418

NPI assigned

Sep 11, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lemoine Therapy Services of Cenla Inc

  • Physical Therapist
  • Mansura, LA
  • NPI 1336242767

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1154570398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 GRAND MARAIS RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468273",
            "telephone_number": "337-288-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 GRAND MARAIS RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468273",
            "telephone_number": "337-288-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KELLY",
        "middle_name": "W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Redlich
• Jonathan C Reed, PTA
• Julie E Richard
• Megan Richardson
• Skye Ringuet, BCABA
• Marlene F Roche, MHP
• Jonathan Rochon, FNP-C, AGACNP-BC
• Shelly Roe
• Quentin D Romero, M.D.
• Aldes J. Rozas III, M.D.

• Speech-Language Pathologist in Jennings, LA
• Providers in Jennings, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.