Active NPI
Kayla White
- Speech-Language Pathologist
- Rock Rapids, IA
National Provider Identifier
1184024846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 360
- Practice address
- 104 Buncombe Dr
Rock Rapids, IA 51246-1003 - Phone
- (712) 472-3333
- Fax
- (712) 472-2878
- NPI assigned
- Sep 1, 2014
- Last updated
- Nov 6, 2019
- 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 | 360 | SD | Primary |
Addresses
Primary practice location
104 Buncombe Dr
Rock Rapids, IA 51246-1003
Mailing address
26416 463Rd Ave
Hartford, SD 57033-6900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | SD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1184024846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26416 463RD AVE",
"city": "HARTFORD",
"state": "SD",
"postal_code": "570336900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BUNCOMBE DR",
"city": "ROCK RAPIDS",
"state": "IA",
"postal_code": "512461003",
"telephone_number": "712-472-3333",
"fax_number": "712-472-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-01",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.