Kendyll Elizabeth Joerger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030868 Issued in NY

Practice address

35 Referendum Dr NE
Bolivia, NC 28422-7578

Phone

(910) 406-5100

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southtowns Children'S SLP, PT & OT Associates

  • Early Intervention Provider Agency
  • Orchard Park, NY
  • NPI 1356581367
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1972127744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 TARRAGON WAY APT 308",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 REFERENDUM DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284227578",
            "telephone_number": "910-406-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOERGER",
        "first_name": "KENDYLL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030868",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Hudson, PHD
• Channing Deneshia Huggins
• Sharon Diane Hughes, MS, CCC-SLP
• Tanya Cara Isaman, MSW, LCSW
• Noemi Alicea James, FNP
• Andrew Scott Johnson, PTA
• Wendy Angelina Johnston, LCSW-C
• Catalina Jordan, MS CCC-SLP
• Mark Vernon Jordan, MD
• Ryan Jordanhazy, M.D.

• Speech-Language Pathologist in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.