Active NPI
Kathleen Keowen, M.A., CCC/SLP
- Speech-Language Pathologist
- Mandeville, LA
National Provider Identifier
1982323671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2778
- Practice address
- 539 Kimberly Ann Dr
Mandeville, LA 70471-6712 - Phone
- (985) 264-7007
- NPI assigned
- Aug 25, 2022
- 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 | 2778 | LA | Primary |
Addresses
Primary practice location
539 Kimberly Ann Dr
Mandeville, LA 70471-6712
Mailing address
539 Kimberly Ann Dr
Mandeville, LA 70471-6712
Phone (985) 264-7007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2778 | LA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1982323671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 KIMBERLY ANN DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704716712",
"telephone_number": "985-264-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 KIMBERLY ANN DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704716712",
"telephone_number": "985-264-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOWEN",
"first_name": "KATHLEEN",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.