Active NPI
Kayla B Doerr, SLP
- Speech-Language Pathologist
- Elkins, WV
National Provider Identifier
1912339177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1553
- Practice address
- 812 Gorman Ave
Elkins, WV 26241-3181 - Phone
- (304) 637-3520
- Fax
- (304) 630-3067
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 | SLP1553 | WV | Primary |
Addresses
Primary practice location
812 Gorman Ave
Elkins, WV 26241-3181
Mailing address
812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3520
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1553 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1912339177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 GORMAN AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413181",
"telephone_number": "304-637-3520",
"fax_number": "304-630-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 GORMAN AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413181",
"telephone_number": "304-637-3520",
"fax_number": "304-630-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "KAYLA",
"middle_name": "B",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP1553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.