Active NPI
Shadd Lagrandeur, M.A., CCC-SLP
- Speech-Language Pathologist
- Laconia, NH
National Provider Identifier
1013164870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0869
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 527-2888
- NPI assigned
- Aug 25, 2008
- Last updated
- Aug 25, 2008
- Sex
- Male
- 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 Pathologist | 235Z00000X | 0869 | NH | Primary |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
77 Grant St
Laconia, NH 03246-3703
Phone (603) 581-2671
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1013164870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GRANT ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463703",
"telephone_number": "603-581-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-527-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRANDEUR",
"first_name": "SHADD",
"name_prefix": "Mr.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
- Laconia School District
- Laconia Women's Health Center, PLLC
- Olivia Jane Lacoppola
- Lindsay M Ladue
- Susan Lafrance
- Lakes Region Anesthesiology PA
- Lakes Region Community Services
- Lakes Region Community Services Council
- Lakes Region Partnership for Public Health (Partnership for Public Health)
- Lakes Region Pathology Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.