Active NPI
Kelly Pitre, MA, SLP
- Speech-Language Pathologist
- Jennings, LA
National Provider Identifier
1861130270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4042
- Practice address
- 203 E Plaquemine St
Jennings, LA 70546-5853 - Phone
- (337) 824-1357
- Fax
- (337) 824-6693
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4042 | LA | Primary |
Addresses
Primary practice location
203 E Plaquemine St
Jennings, LA 70546-5853
Mailing address
802 W Jefferson St
Jennings, LA 70546-6348
Phone (337) 824-1357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4042 | Other | LA | LOUISIANA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1861130270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W JEFFERSON ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705466348",
"telephone_number": "337-824-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E PLAQUEMINE ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705465853",
"telephone_number": "337-824-1357",
"fax_number": "337-824-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "KELLY",
"credential": "MA, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "4042",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.