Active NPI
Kellie Haver, B.A.
- Hearing Instrument Specialist
- Baton Rouge, LA
National Provider Identifier
1508216433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1299
- Practice address
- 3867 Plaza Tower Dr FL Towerdr1
Baton Rouge, LA 70816-4378 - Phone
- (337) 239-3334
- Fax
- (337) 239-3334
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1299 | LA | Primary |
Addresses
Primary practice location
3867 Plaza Tower Dr FL Towerdr1
Baton Rouge, LA 70816-4378
Mailing address
513B E Fairfield Dr
Broussard, LA 70518-5303
Phone (337) 251-0195
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1299 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wardell Interests, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Shreveport, LA
- NPI 1134266083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1508216433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513B E FAIRFIELD DR",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705185303",
"telephone_number": "337-251-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3867 PLAZA TOWER DR FL TOWERDR1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164378",
"telephone_number": "337-239-3334",
"fax_number": "337-239-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVER",
"first_name": "KELLIE",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2024-12-20",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "LA",
"license": "1299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Haven'S Gateway Personal Care Facility Inc
- Haven'S Gateway Personal Care Facility, Inc
- Haven'S Gateway Personal Care Facility, Inc
- Havens Gateway Personal Care Facility Inc
- Havens Gateway Personal Care Facility Inc
- Hawamc Enterprises LLC
- Ashston Christopher Hawkins
- Bettina Hawkins
- Bria Nadirah Hawkins, MD
- Cherie Irene Hawkins, PROFESSIONAL COUNSEL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.