Active NPI
Kimberly S Gosserand, M.ED.
- Speech-Language Pathologist
- New Orleans, LA
National Provider Identifier
1891946281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6169
- Practice address
- 4118 Prentiss Ave
New Orleans, LA 70126-2220 - Phone
- (225) 715-7123
- NPI assigned
- Oct 4, 2008
- 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 | 6169 | LA | Primary |
Addresses
Primary practice location
4118 Prentiss Ave
New Orleans, LA 70126-2220
Mailing address
4118 Prentiss Ave
New Orleans, LA 70126-2220
Phone (225) 715-7123
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6169 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1891946281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4118 PRENTISS AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701262220",
"telephone_number": "225-715-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4118 PRENTISS AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701262220",
"telephone_number": "225-715-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSERAND",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-04",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6169",
"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 Apr 12, 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.