Active NPI
Hannah Kedziorski, CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1497418404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2994
- Practice address
- 2560 Montessouri St Ste 113
Las Vegas, NV 89117-3063 - Phone
- (702) 553-8168
- NPI assigned
- Oct 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 2994 | NV | Primary |
Addresses
Primary practice location
2560 Montessouri St Ste 113
Las Vegas, NV 89117-3063
Mailing address
7350 W Centennial Pkwy Unit 2117
Las Vegas, NV 89131-1651
Phone (702) 553-8168
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2994 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634342400000",
"number": "1497418404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 W CENTENNIAL PKWY UNIT 2117",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891311651",
"telephone_number": "702-553-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 MONTESSOURI ST STE 113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173063",
"telephone_number": "702-553-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDZIORSKI",
"first_name": "HANNAH",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-16",
"last_updated": "2021-10-16",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "2994",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Email",
"affiliation": "N",
"address_1": "2560 Montessouri St Ste 113",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891173063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.