Individual provider Active NPI

Kenye Gaylette Hara

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1679743272
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
13400 Riverside Dr
Suite 208
Sherman Oaks, CA 91423-2500
Phone
(818) 783-5168
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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 Primary

Addresses

Primary practice location

13400 Riverside Dr
Suite 208
Sherman Oaks, CA 91423-2500

Mailing address

19230 Wyandotte St
Unit 1
Reseda, CA 91335-3578
Phone (818) 345-4840

Other names 1

  • Kenye Gaylette North Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Speech Therapy Associates, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1679743272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 WYANDOTTE ST",
            "address_2": "UNIT 1",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353578",
            "telephone_number": "818-345-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "address_2": "SUITE 208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-783-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARA",
        "first_name": "KENYE",
        "middle_name": "GAYLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYE",
            "last_name": "NORTH",
            "middle_name": "GAYLETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.