Active NPI
Keyara Candies Watson-Love
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1235988874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119653
- Practice address
- 530 7TH Ave Ste M1
New York, NY 10018-4878 - Phone
- (844) 415-4592
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 119653 | TX | Primary |
Addresses
Primary practice location
530 7TH Ave Ste M1
New York, NY 10018-4878
Mailing address
511 Bertrand Dr Apt 2105
Lafayette, LA 70506-4296
Phone (832) 577-1566
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 |
|---|---|---|---|
| 119653 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1235988874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BERTRAND DR APT 2105",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064296",
"telephone_number": "832-577-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 7TH AVE STE M1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100184878",
"telephone_number": "844-415-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON-LOVE",
"first_name": "KEYARA",
"middle_name": "CANDIES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.