Active NPI
Kimberly Lauren Hetherington, M.A.
- Speech-Language Pathologist
- Covington, LA
National Provider Identifier
1518237130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6176
- Practice address
- 201 Holiday Blvd
Suite 315
Covington, LA 70433-5088 - Phone
- (985) 898-2999
- Fax
- (985) 898-2289
- NPI assigned
- Jan 12, 2012
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6176 | LA | Primary |
Addresses
Primary practice location
201 Holiday Blvd
Suite 315
Covington, LA 70433-5088
Mailing address
201 Holiday Blvd
Suite 315
Covington, LA 70433-5088
Phone (985) 898-2999
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6176 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy and Learning Center of the Northshore | Speech-Language Pathologist | 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.
-
- Pediatric Occupational Therapist
- Covington, LA
- NPI 1851687198
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1518237130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD",
"address_2": "SUITE 315",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335088",
"telephone_number": "985-898-2999",
"fax_number": "985-898-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD",
"address_2": "SUITE 315",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335088",
"telephone_number": "985-898-2999",
"fax_number": "985-898-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETHERINGTON",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.