Active NPI
Vanessa L Louis
- Speech-Language Assistant
- Port Saint Lucie, FL
National Provider Identifier
1003625575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- L200872879660
- Practice address
- 3167 SW Hambrick St
Port Saint Lucie, FL 34953-4553 - Phone
- (772) 251-9898
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | L200872879660 | FL | Primary |
Addresses
Primary practice location
3167 SW Hambrick St
Port Saint Lucie, FL 34953-4553
Mailing address
3167 SW Hambrick St
Port Saint Lucie, FL 34953-4553
Phone (772) 251-9898
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 |
|---|---|---|---|
| L200872879660 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1003625575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3167 SW HAMBRICK ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349534553",
"telephone_number": "772-251-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3167 SW HAMBRICK ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349534553",
"telephone_number": "772-251-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS",
"first_name": "VANESSA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "L200872879660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.