Individual provider Active NPI

Paulina Ivonne Kintigh

  • Speech-Language Assistant
  • Leesville, LA
National Provider Identifier
1750989257
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
9570 Issued in LA
Practice address
112 N 3Rd St
Leesville, LA 71446-4014
Phone
(337) 239-3334
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 41630 TX
Speech-Language Assistant 2355S0801X 9570 LA Primary

Addresses

Primary practice location

112 N 3Rd St
Leesville, LA 71446-4014

Mailing address

5114 Michael Dr Apt B
Fort Johnson, LA 71459-4200
Phone (915) 471-4562

Other practice location 1

6903 Pamlico Dr
El Paso, TX 79912-3105
Phone (915) 471-4562

Other names 1

  • Paulina Ramirez Professional 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

State licenses

LicenseStateTypeSpecialty
9570LAMDClinical Social Worker
41630TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Interests, Inc PastSince Jun 30, 2024 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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1750989257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 MICHAEL DR APT B",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714594200",
            "telephone_number": "915-471-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 3RD ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464014",
            "telephone_number": "337-239-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6903 Pamlico Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123105",
            "country_code": "US",
            "telephone_number": "915-471-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINTIGH",
        "first_name": "PAULINA",
        "middle_name": "IVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41630",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "LA",
            "license": "9570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINA",
            "last_name": "RAMIREZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.