Kayzanne Hewitt, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1933 Issued in ND

Practice address

1702 E Main St Ste 103
Mandan, ND 58554-3818

Phone

(701) 415-0000

Fax

(833) 969-0195

NPI assigned

May 19, 2021

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayzanne Sibla Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Therapy Partners, Inc.

  dba Pediatric Partners

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958

  ND, Speech-Language Pathologist

  Medicare reassignment NPD
• Kids in Motion Inc

  • Physical Therapy Clinic/Center
  • Mandan, ND
  • NPI 1649736422
  NPD
• Pediatric Therapy Partners, Inc.

  dba Early Intervention Partners

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1104426352
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1265006605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E MAIN ST STE 103",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543818",
            "telephone_number": "701-415-0000",
            "fax_number": "833-969-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E MAIN ST STE 103",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543818",
            "telephone_number": "701-415-0000",
            "fax_number": "833-969-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "KAYZANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYZANNE",
            "last_name": "SIBLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henke Psychiatric Services, PLLC
• Martin L Henke II
• Melissa Jo Henke, M.D.
• Robyn Hennessy, MS, CCC-SLP
• Amy Hertz
• Hit Inc
• Hit Inc
• Hit Inc
• Hit Inc
• Hit Inc

• Speech-Language Pathologist in Mandan, ND
• Providers in Mandan, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.