MS. KELLEY PRENDERGAST (NPI# 1275704066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275704066 |
| Entity Type | Individual |
| Full Name | MS. KELLEY PRENDERGAST |
| Credential | ST |
| Practice Address |
3714 Cypress St West Monroe LA 71291-7435 |
| Mailing Address |
Po Box 1462 Monroe LA 71210-1462 |
| Practice Telephone | 3183228974 |
| Practice Fax Number | 3183228290 |
| Mailing Telephone | 3183877817 |
| Mailing Fax Number | 3183220914 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5894 | LA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | SPEECH THERAPIST LICENSE | 5894 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189352 | Kelley Ann Prendergast | Physician Assistant | 175 Connors Street, Gardner, MA 01440 | 2006-01-26 |
| Street Address |
3714 CYPRESS ST |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302673 | Whitney Reich | Speech-Language Pathologist | 1616 Wellerman Rd, West Monroe, LA 71291-7427 | 2019-08-22 |
| 1326511205 | Shanna Caprice Lee | Speech-Language Pathologist | 128 Copley St, West Monroe, LA 71291-2515 | 2019-01-03 |
| 1881192136 | Lisa Fleming Bannister | Speech-Language Pathologist | 107 Contempo Ave Ste 1, West Monroe, LA 71291-5382 | 2018-01-31 |
| 1932613668 | Holly Cooke | Speech-Language Pathologist | 212 Briarcliff Dr, West Monroe, LA 71291-9027 | 2017-11-16 |
| 1992185466 | Autumn Simpson | Speech-Language Pathologist | 107 Ashford Dr, Apt. 1523, West Monroe, LA 71291-7842 | 2015-05-31 |
| 1114336161 | Jasmine Lenard | Speech-Language Pathologist | 122 Laureli Ln, West Monroe, LA 71292-1302 | 2014-08-04 |
| 1164763009 | Holli Lynae Hayslip | Speech-Language Pathologist | 212 Lynette Dr, West Monroe, LA 71292-6616 | 2013-03-01 |
| 1366702474 | Heather Mcintosh | Speech-Language Pathologist | 110 Lasalle Cir, West Monroe, LA 71291-4732 | 2012-05-22 |
| 1669731279 | Kristen Cox | Speech-Language Pathologist | 300 Warren Dr, Apt 605, West Monroe, LA 71291-7278 | 2012-05-16 |
| 1720368806 | Tiffany N Rigal | Speech-Language Pathologist | 213 Chickasaw Dr, West Monroe, LA 71291-2315 | 2011-08-22 |
| Find all providers in WEST MONROE | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
Please comment or provide details below to improve the information on MS. KELLEY PRENDERGAST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.