Active NPI
Molly Stutes
- Speech-Language Pathologist
- Shreveport, LA
National Provider Identifier
1124939202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10148
- Practice address
- 702 Professional Dr N
Shreveport, LA 71105-5600 - Phone
- (318) 746-1199
- NPI assigned
- Sep 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 10148 | LA | Primary |
Addresses
Primary practice location
702 Professional Dr N
Shreveport, LA 71105-5600
Mailing address
1041 Chinaberry Dr
Bossier City, LA 71111-2438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1124939202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 CHINABERRY DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 PROFESSIONAL DR N",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055600",
"telephone_number": "318-746-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTES",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "10148",
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.