NPIMap

Individual provider Active NPI

Kylie Foret

  • Speech-Language Pathologist
  • Thibodaux, LA
National Provider Identifier
1699418103
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8732 Issued in LA
Practice address
507 Saint Mary St # a
Thibodaux, LA 70301-2627
Phone
(985) 387-1919
Fax
(985) 888-8747
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 8732 LA Primary

Addresses

Primary practice location

507 Saint Mary St # a
Thibodaux, LA 70301-2627

Mailing address

507 Saint Mary St # a
Thibodaux, LA 70301-2627
Phone (985) 387-1919

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

LicenseStateTypeSpecialty
8732LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Feeding Therapy, LLC Speech-Language Pathologist CurrentSince Apr 17, 2022 Accepting new patients

Locations

507 Saint Mary St
#A
Thibodaux, LA 70301
Phone (985) 387-1919

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1699418103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SAINT MARY ST # A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012627",
            "telephone_number": "985-387-1919",
            "fax_number": "985-888-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SAINT MARY ST # A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012627",
            "telephone_number": "985-387-1919",
            "fax_number": "985-888-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORET",
        "first_name": "KYLIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.