Individual provider Active NPI

Elizabeth Schafehen, SLP

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1013263417
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6632 Issued in LA
Practice address
1800 Buckner St Ste C249
Shreveport, LA 71101-4447
Phone
(318) 934-1969
Fax
(318) 934-1960
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6632 LA Primary

Addresses

Primary practice location

1800 Buckner St Ste C249
Shreveport, LA 71101-4447

Mailing address

PO Box 1377
West Monroe, LA 71294-1377
Phone (318) 396-1969

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6632LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Speech-Language Pathologist CurrentSince Jul 18, 2012 Accepting new patients
Melanie Massey Infant & Toddler LLC Speech-Language Pathologist Past Accepting new patients

Locations

1800 Buckner St
Ste C249
Shreveport, LA 71101
Phone (318) 934-1969

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1013263417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941377",
            "telephone_number": "318-396-1969",
            "fax_number": "318-396-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST STE C249",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014447",
            "telephone_number": "318-934-1969",
            "fax_number": "318-934-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFEHEN",
        "first_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.