Carissa Raine Bendily, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8881 Issued in LA

Practice address

2330 Hwy 15
Winnsboro, LA 71295-7129

Phone

(318) 535-2640

Fax

(888) 616-5693

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Ann Tubre, Lotr LLC

  dba Believe and Achieve Therapy

  • Occupational Therapist
  • West Monroe, LA
  • NPI 1568579035

  Single Specialty

  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1013681493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915305",
            "telephone_number": "318-381-8520",
            "fax_number": "888-616-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 HWY 15",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712957129",
            "telephone_number": "318-535-2640",
            "fax_number": "888-616-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDILY",
        "first_name": "CARISSA",
        "middle_name": "RAINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany R Basco, NP
• Gary Baskin Jr., MD
• Elizabeth Nicole Bass, M.S., SLP/CCC
• Bayou Medical LLC
• Bayou Medical Transportation Services,
• Alexandra Cooper Berry
• Connor Biglane, PHARMD
• Bio-Medical Applications of Louisiana, LLC (Bma Winnsboro)
• Jean Anne Black, LCSW
• Lori Black

• Speech-Language Pathologist in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.