Active NPI
Kevin Todd Houston, PH.D.
- Speech-Language Pathologist
- Logan, UT
National Provider Identifier
1407097694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6635704-4102
- Practice address
- 1000 Old Main HL
Utah State University
Logan, UT 84322-1000 - Phone
- (435) 797-0434
- Fax
- (435) 797-0221
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 6635704-4102 | UT | Primary |
Addresses
Primary practice location
1000 Old Main HL
Utah State University
Logan, UT 84322-1000
Mailing address
1000 Old Main HL
Utah State University
Logan, UT 84322-1000
Phone (435) 797-0434
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6635704-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1407097694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OLD MAIN HL",
"address_2": "UTAH STATE UNIVERSITY",
"city": "LOGAN",
"state": "UT",
"postal_code": "843221000",
"telephone_number": "435-797-0434",
"fax_number": "435-797-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OLD MAIN HL",
"address_2": "UTAH STATE UNIVERSITY",
"city": "LOGAN",
"state": "UT",
"postal_code": "843221000",
"telephone_number": "435-797-0434",
"fax_number": "435-797-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "KEVIN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "6635704-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.