Active NPI
Kayla Nicole Coreil
- Speech-Language Pathologist
- Abbeville, LA
National Provider Identifier
1154821692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8648
- Practice address
- 220 S. Jefferson St
Abbeville, LA 70510 - Phone
- (337) 857-3744
- NPI assigned
- Feb 20, 2018
- 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 | 8648 | LA | Primary |
Addresses
Primary practice location
220 S. Jefferson St
Abbeville, LA 70510
Mailing address
P.O. Drawer 520
Abbeville, LA 70511
Phone (337) 893-3887
Other names 1
- Kayla Nicole Bergeron
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 |
|---|---|---|---|
| 8648 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1154821692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. DRAWER 520",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "70511",
"telephone_number": "337-893-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S. JEFFERSON ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "70510",
"telephone_number": "337-857-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREIL",
"first_name": "KAYLA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "BERGERON",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.