Individual provider Active NPI

Patrika Williby-King, B.S.,SLPA

  • Speech-Language Assistant
  • Kenner, LA
National Provider Identifier
1609006998
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
6114 Issued in LA
Practice address
2160 42ND St Apt 120
Kenner, LA 70065-8200
Phone
(504) 717-6634
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 6114 LA Primary
Mental Health Counselor 101YM0800X LA

Addresses

Primary practice location

2160 42ND St Apt 120
Kenner, LA 70065-8200

Mailing address

2160 42ND St Apt 120
Kenner, LA 70065-8200
Phone (504) 717-6634

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 Science

State licenses

LicenseStateTypeSpecialty
6114LAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1609006998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 42ND ST APT 120",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700658200",
            "telephone_number": "504-717-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 42ND ST APT 120",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700658200",
            "telephone_number": "504-717-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIBY-KING",
        "first_name": "PATRIKA",
        "name_prefix": "Mrs.",
        "credential": "B.S.,SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "LA",
            "license": "6114",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.