Active NPI
Kiana Henderson
- Speech-Language Pathologist
- Minden, LA
National Provider Identifier
1538947106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8465
- Practice address
- 515 W Todd St
Minden, LA 71055-2239 - Phone
- (318) 377-2213
- NPI assigned
- Sep 15, 2023
- Last updated
- Sep 15, 2023
- 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 | 8465 | LA | Primary |
Addresses
Primary practice location
515 W Todd St
Minden, LA 71055-2239
Mailing address
107 Lazy Cir
Ferriday, LA 71334-2009
Phone (601) 870-4031
Other practice location 1
700 E Union St
Minden, LA 71055-4417
Phone (318) 377-3847
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 |
|---|---|---|---|
| 8465 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1538947106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LAZY CIR",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342009",
"telephone_number": "601-870-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W TODD ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710552239",
"telephone_number": "318-377-2213"
}
],
"practiceLocations": [
{
"address_1": "700 E Union St",
"address_purpose": "LOCATION",
"city": "Minden",
"state": "LA",
"postal_code": "710554417",
"country_code": "US",
"telephone_number": "318-377-3847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "KIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.