Active NPI
Joni L. Hayes-Derouen, M.ED.,SLP-A
- Speech-Language Assistant
- Zachary, LA
National Provider Identifier
1104002336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 5517
- Practice address
- 2383 Woodbend Dr
Zachary, LA 70791-2784 - Phone
- (225) 955-2204
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- 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 Assistant | 2355S0801X | 5517 | LA | Primary |
Addresses
Primary practice location
2383 Woodbend Dr
Zachary, LA 70791-2784
Mailing address
2383 Woodbend Dr
Zachary, LA 70791-2784
Phone (225) 955-2204
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5517 | LA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1104002336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2383 WOODBEND DR",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912784",
"telephone_number": "225-955-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2383 WOODBEND DR",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912784",
"telephone_number": "225-955-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES-DEROUEN",
"first_name": "JONI",
"middle_name": "L.",
"credential": "M.ED.,SLP-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "LA",
"license": "5517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.