Active NPI
Stephanie Ann Gary
- Speech-Language Assistant
- Sulphur, LA
National Provider Identifier
1003544636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 5399
- Practice address
- 540 S Huntington St
Sulphur, LA 70663-4434 - Phone
- (337) 217-4550
- NPI assigned
- Aug 11, 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 Assistant | 2355S0801X | 5399 | LA | Primary |
Addresses
Primary practice location
540 S Huntington St
Sulphur, LA 70663-4434
Mailing address
540 S Huntington St
Sulphur, LA 70663-4434
Phone (337) 217-4550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5399 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1003544636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S HUNTINGTON ST",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706634434",
"telephone_number": "337-217-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S HUNTINGTON ST",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706634434",
"telephone_number": "337-217-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "LA",
"license": "5399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.