Suzanne Tingle Vicknair, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

4283 Issued in LA

Practice address

120 Odea St
Abbeville, LA 70510-4033

Phone

(337) 893-4258

NPI assigned

Dec 11, 2020

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)

Not enrolled

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1033715255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S JEFFERSON ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105906",
            "telephone_number": "337-898-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ODEA ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104033",
            "telephone_number": "337-893-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKNAIR",
        "first_name": "SUZANNE",
        "middle_name": "TINGLE",
        "name_prefix": "Mrs.",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "LA",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vermilion Speech and Language Therapy, LLC
• Vermillion Parish Hospital Service District No 2
• Michael Veronie, RD, LDN
• Allison Anne Vice, M. ED. CCC-SLP
• Harrison G Vicknair, DC
• Adam Kendall Vidrine, RAC
• Sarah Marie Vining, PLPC
• Wal-Mart Stores East LP
• Wal-Mart Stores Louisiana, LLC
• Walgreen Co

• All providers in Abbeville, LA
• Speech-Language Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.