Kayla Dawn Childs

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014484 Issued in PA

Practice address

4712 Windsor Ave
Philadelphia, PA 19143-3517

Phone

(215) 500-7842

NPI assigned

Apr 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1316500697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 WINDSOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433517",
            "telephone_number": "215-500-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 WINDSOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433517",
            "telephone_number": "215-500-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Hospital of Philadelphia
• Anna Rose Childress, PH.D.
• Claiborne Bernard Childs, M.D.
• Erika Childs
• John Norris Childs III, M.D.
• Liam Joseph Childs
• Usha Mathew Childs, MD
• Divya Rao Chillapalli, M.D.
• Chilrens Hospital of Philadelphia
• Joanne D Chilton, CRNA

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

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

Verify at the official NPI Registry.