Individual provider Active NPI

Katelyn Rodrigue Fitts, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Destrehan, LA
National Provider Identifier
1346673381
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6676 Issued in LA
Practice address
41 Shadow LN
Destrehan, LA 70047-3624
Phone
(985) 764-0119
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6676 LA Primary

Addresses

Primary practice location

41 Shadow LN
Destrehan, LA 70047-3624

Mailing address

222 Birch St
Luling, LA 70070-5126
Phone (985) 785-8266

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfitts@stcharles.k12.la.us

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6676LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1346673381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BIRCH ST",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700705126",
            "telephone_number": "985-785-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SHADOW LN",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700473624",
            "telephone_number": "985-764-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTS",
        "first_name": "KATELYN",
        "middle_name": "RODRIGUE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfitts@stcharles.k12.la.us",
            "affiliation": "N",
            "address_1": "222 Birch St",
            "city": "Luling",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700705126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.