Davetta Nelson, L-SLP CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5031 Issued in LA

Practice address

10708 Big Bend Ave
Baton Rouge, LA 70814-5202

Phone

(225) 278-2935

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1083330211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 BIG BEND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708145202",
            "telephone_number": "225-278-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 BIG BEND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708145202",
            "telephone_number": "225-278-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVETTA",
        "name_prefix": "Mrs.",
        "credential": "L-SLP CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Edward Nelson, CRNA
• Bambi Aisha Nelson, PHARM.D
• Corinthius Nelson
• Craig H Nelson, RN
• Daniel Hector Nelson, M.D.
• Dlacey Nelson
• Jacob Austin Bernardi Nelson, MD
• Jhana Lasha Nelson
• Joseph Harlan Nelson, LMT
• Julie B. Nelson, PH.D

• Speech-Language Pathologist in Baton Rouge, LA
• Providers in Baton Rouge, 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 Oct 19, 2022; 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.