Organization Active NPI

Esther S Kim, LLC Dba Bright Speech Therapy

  • Speech-Language Pathologist
  • Walker, LA
National Provider Identifier
1508554676
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ESTHER S KIM, LLC DBA BRIGHT SPEECH THERAPY
Practice address
9995 Florida Blvd
Walker, LA 70785-7805
Phone
(225) 283-5797
Fax
(225) 425-3468
NPI assigned
Apr 26, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Esther S Kim, CCC-SLPNPI 1265938070
Title
Owner
Phone
(562) 480-7111

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

Practitioners 4

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

Locations

9995 Florida Blvd
Walker, LA 70785
Phone (225) 283-5797

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

9995 Florida Blvd
Walker, LA 70785-7805

Mailing address

9995 Florida Blvd
Walker, LA 70785-7805
Phone (225) 283-5797

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1942435714MedicaidLA
1265938070MedicaidLA

Other names 1

NPPES NPI Registry
  • Bright Speech Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2023.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1508554676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 FLORIDA BLVD",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857805",
            "telephone_number": "225-283-5797",
            "fax_number": "225-425-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 FLORIDA BLVD",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857805",
            "telephone_number": "225-283-5797",
            "fax_number": "225-425-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER S KIM, LLC DBA BRIGHT SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-480-7111",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942435714",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265938070",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.