Individual provider Active NPI

Pamela Jaye Kotorac

  • Speech-Language Pathologist
  • New Orleans, LA
National Provider Identifier
1609503234
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9148 Issued in LA
Practice address
1643 Josephine St Apt 325
New Orleans, LA 70130-7644
Phone
(845) 596-4780
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9148 LA Primary

Addresses

Primary practice location

1643 Josephine St Apt 325
New Orleans, LA 70130-7644

Mailing address

1643 Josephine St Apt 325
New Orleans, LA 70130-7644
Phone (845) 596-4780

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

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1609503234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 JOSEPHINE ST APT 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701307644",
            "telephone_number": "845-596-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 JOSEPHINE ST APT 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701307644",
            "telephone_number": "845-596-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTORAC",
        "first_name": "PAMELA",
        "middle_name": "JAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.