Individual provider Active NPI

Megan Ruth Harrison, M.S., L-SLP, CCC-SLP

  • Speech-Language Pathologist
  • Dayton, TX
National Provider Identifier
1154979466
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119807 Issued in TX
Practice address
12214 Cherry Point Dr
Dayton, TX 77535-2273
Phone
(409) 454-8813
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8022 LA
Speech-Language Pathologist 235Z00000X 119807 TX Primary

Addresses

Primary practice location

12214 Cherry Point Dr
Dayton, TX 77535-2273

Mailing address

12214 Cherry Point Dr
Dayton, TX 77535-2273
Phone (409) 454-8813

Other practice location 1

2519 Ryan St
Lake Charles, LA 70601-7323
Phone (337) 491-0800

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
8022LAMDSpeech-Language Pathologist
119807TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Physician Group LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1154979466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 CHERRY POINT DR",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352273",
            "telephone_number": "409-454-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 CHERRY POINT DR",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352273",
            "telephone_number": "409-454-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 Ryan St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017323",
            "country_code": "US",
            "telephone_number": "337-491-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MEGAN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.S., L-SLP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8022",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.