Kelsey S. Brasseaux, CCC, SLP, CLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7398 Issued in LA

Practice address

235 Blue Crane Dr
Slidell, LA 70461

Phone

(985) 640-7583

NPI assigned

May 25, 2015

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Solutions

  • Speech-Language Pathologist
  • Baton Rouge, LA
  • NPI 1700291127
  NPD (past)

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1154700045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BLUE CRANE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613217",
            "telephone_number": "985-640-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BLUE CRANE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-640-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 Tezcucco Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708205012",
            "country_code": "US",
            "telephone_number": "225-603-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASSEAUX",
        "first_name": "KELSEY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "CCC, SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gizzelle Ann Bozonier
• Meagan Bradbury
• Daniel Adam Bradley, PT
• Demtrius Brailey, CLS-T(ASCP)
• Craig J Brandner, DDS
• Aaron Scott Brasuell, P.A.-C.
• Bert R Bratton, MD
• Jena R Bratton, PT
• Marc E Bratton, MS, PT, ATC
• Christopher Henry Braud, DDS

• Speech-Language Pathologist in Slidell, LA
• Providers in Slidell, 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 Apr 16, 2019; 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.