Khetlhamany Erika Bannavong, M.A., CCC-SLP
NPI 1245945567ActiveIndividual· Speech-Language Pathologist· West Liberty, IA
Speech-Language Pathologist (M.A., CCC-SLP) in West Liberty, Iowa, licensed in PA and IA, with an NPI issued in January 2023. Medicare paid $63,191 for services to 46 patients in 2024.
Overview
| NPI | 1245945567 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jan 20, 2023 |
| Last updated in NPPES | Feb 17, 2025 |
| Certified by provider | Feb 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SL018239 | PA |
| Speech-Language Pathologist | 235Z00000X | 114797 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 2,557 across 9 procedure codes |
| Paid by Medicare | $63,191 |