DR. KELLY KOCH (NPI# 1316578289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316578289 |
| Entity Type | Individual |
| Full Name | DR. KELLY KOCH |
| Credential | PH.D., CCC-SLP |
| Practice Address |
3919 Highway 14 New Iberia LA 70560 |
| Mailing Address |
114 Lietmeyer St New Iberia LA 70563-3049 |
| Practice Telephone | 3372518267 |
| Mailing Telephone | 3372518267 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7123 | LA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
| 1336787506 | Kelly Ann Koch | Occupational Therapist | 480 Bedford Rd, Chappaqua, NY 10514-1715 | 2019-12-18 |
| 1730619735 | Kelly Koch | Dentist | 56 New Driftway, Scituate, MA 02066-4533 | 2017-06-13 |
| 1922458223 | Kelly Koch | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2016-06-16 |
| 1932581923 | Kelly Koch | Speech-Language Pathologist | 17500 Burke St, Omaha, NE 68118-2244 | 2015-06-25 |
| Street Address |
3919 HIGHWAY 14 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| 1598143612 | Stephanie Vines, Ncc, Lpc, LLC | Community/Behavioral Health | 152 W. Main St., New Iberia, LA 70560 | 2015-05-08 |
| Find all providers in zip 70560 | ||||
| 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 |
|---|---|---|---|---|
| 1306303086 | Michelle C Moss | Speech-Language Pathologist | 3913 Highway 14, New Iberia, LA 70560-9435 | 2019-02-28 |
| 1548798531 | Nanette Derouen Kibbe | Speech-Language Pathologist | 357 Hilltop Cir, New Iberia, LA 70563-1717 | 2017-06-02 |
| 1740531292 | Ruth Martin | Speech-Language Pathologist | 101 Acadian St, New Iberia, LA 70560-1511 | 2012-09-24 |
| 1508091133 | Millie R Zimmer | Speech-Language Pathologist | 2419 Bayou Bend Rd, New Iberia, LA 70563-0008 | 2009-05-27 |
| 1356587141 | Myra Redlich Corona | Speech-Language Pathologist | 221 Pollard Ave, New Iberia, LA 70563-2541 | 2008-12-28 |
| 1104042340 | Tiffany Ralet Gaines | Speech-Language Pathologist | 1001 E Dale St, Apt 506, New Iberia, LA 70560-4867 | 2007-04-17 |
| 1700918281 | Jamie Saunier | Speech-Language Pathologist | 500 Azalea Dr, New Iberia, LA 70563-2707 | 2007-03-11 |
| 1174141675 | Haley Merryman | Speech-Language Pathologist | 110 E Main St, New Iberia, LA 70560-3725 | 2020-07-10 |
| 1235754102 | Marissa Young | Speech-Language Pathologist | 110 E Main St, New Iberia, LA 70560-3725 | 2020-06-16 |
| 1508496530 | Moss Speech Langugae Therapy LLC | Speech-Language Pathologist | 3913 Highway 14, New Iberia, LA 70560-9435 | 2020-01-17 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
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| 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.