Kayla Desutter, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3759 Issued in MS

Practice address

7160 Tchulahoma Rd Ste B4
Southaven, MS 38671-9268

Phone

(662) 349-2733

Fax

(662) 536-1849

NPI assigned

Oct 28, 2013

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

Other identifiers 1

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.

• Therapy Zone, LLC

  • Speech-Language Pathologist
  • Southaven, MS
  • NPI 1194836056
  NPD (past)

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1255769337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 DENMARK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034652",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD STE B4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719268",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESUTTER",
        "first_name": "KAYLA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "S3759",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desoto Therapy, Inc.
• Desoto Thyroid and Endocrinology
• Desoto Urgent Care Clinic, LLC
• Desoto Wellness Clinic LLC
• Desoto Womens Care Center, PLLC
• Brandon Deterding, PHARM.D.
• Tyrel Detweiler, D.C.
• Mahfuz Mahin Dewan
• Jennifer Dewey, FNP
• DHP of Desoto Professional Association

• All providers in Southaven, MS
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.