Individual provider Active NPI

Bianca Trejo Allbritton, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1154947778
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8578 Issued in LA
Practice address
2226 Murphy St
Shreveport, LA 71103-2549
Phone
(318) 603-6700
NPI assigned
Jun 19, 2020
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8578 LA Primary

Addresses

Primary practice location

2226 Murphy St
Shreveport, LA 71103-2549

Mailing address

401 Trinity Circle
Shreveport, LA 71106
Phone (318) 282-4856

Other practice location 1

650 Olive St
Shreveport, LA 71104-2210
Phone (318) 302-6000

Other practice location 2

2522 E 70th St
Shreveport, LA 71105-4002
Phone (318) 795-3388

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 Science

State licenses

LicenseStateTypeSpecialty
8578LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Physical Therapy, Inc Speech-Language Pathologist CurrentSince Jun 1, 2020 Accepting new patients
Wardell Interests, Inc Speech-Language Pathologist PastSince Jun 1, 2021 Accepting new patients
Wardell Interest, Inc. Speech-Language Pathologist PastSince Jun 1, 2021 Accepting new patients

Locations

650 Olive St
Shreveport, LA 71104
Phone (318) 302-6000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1154947778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TRINITY CIRCLE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-282-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 MURPHY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032549",
            "telephone_number": "318-603-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Olive St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711042210",
            "country_code": "US",
            "telephone_number": "318-302-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2522 E 70th St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711054002",
            "country_code": "US",
            "telephone_number": "318-795-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLBRITTON",
        "first_name": "BIANCA",
        "middle_name": "TREJO",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8578",
            "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 Aug 16, 2024; 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.