Organization Active NPI

Spring Speech Therapy LLC

  • Speech-Language Pathologist
  • Jennings, LA
National Provider Identifier
1457069387
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPRING SPEECH THERAPY LLC
Practice address
2258 Duhon Rd
Jennings, LA 70546-8608
Phone
(337) 388-0850
NPI assigned
Nov 9, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Alicia Kettler, M.S. CCC/SLPNPI 1407260029
Title
Owner
Phone
(337) 388-0850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2258 Duhon Rd
Jennings, LA 70546-8608

Mailing address

2258 Duhon Rd
Jennings, LA 70546-8608
Phone (337) 388-0850

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1407260029OtherNPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2022.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1457069387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 DUHON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468608",
            "telephone_number": "337-388-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 DUHON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468608",
            "telephone_number": "337-388-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "KETTLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-388-0850",
        "authorized_official_credential": "M.S. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407260029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.