Kendall Cain, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101594 Issued in TX

Practice address

620 W Westchester Pkwy
5204
Grand Prairie, TX 75052-3299

Phone

(214) 213-0054

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Conquest Speech Therapy Services

  • Speech-Language Pathologist
  • Grand Prairie, TX
  • NPI 1023259330
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1164543401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541415",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750541415",
            "telephone_number": "214-213-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W WESTCHESTER PKWY",
            "address_2": "5204",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523299",
            "telephone_number": "214-213-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KENDALL",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180149001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180149003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376590422",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C & M Pediatric Associates P a
• William C de Baca Sr., RPH
• C3 Academy, LLC
• C3 Christian Academy, Inc.
• Hope Alyssa Cachay, RD, LD
• Kristen Lashawn Cain, LSSP
• Calab Inc
• Calab Inc
• Janelle Ricole Calhoun, P.T.
• Octavia R Calhoun, PT

• Speech-Language Pathologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.