Active NPI
Chantelle Ballard Varnado, SLP
- Speech-Language Pathologist
- Denham Springs, LA
National Provider Identifier
1154622868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4777
- Practice address
- 2211 Augusta LN
Launch
Denham Springs, LA 70726-4933 - Phone
- (225) 238-1741
- Fax
- (225) 341-8749
- NPI assigned
- Nov 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202006179 | VA | |
| Speech-Language Pathologist | 235Z00000X | 4777 | LA | Primary |
Addresses
Primary practice location
2211 Augusta LN
Launch
Denham Springs, LA 70726-4933
Mailing address
2211 Augusta LN
Launch
Denham Springs, LA 70726-4933
Phone (225) 238-1741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004909976 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | LA | MD | Prosthodontist |
| 2202006179 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1154622868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 AUGUSTA LN",
"address_2": "LAUNCH",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264933",
"telephone_number": "225-238-1741",
"fax_number": "225-341-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 AUGUSTA LN",
"address_2": "LAUNCH",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264933",
"telephone_number": "225-238-1741",
"fax_number": "225-341-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNADO",
"first_name": "CHANTELLE",
"middle_name": "BALLARD",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-11",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006179",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004909976",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.