Randall Krieger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12048012 Issued in LA

Practice address

255 W Florida St
Suite 200 Jefferson Speech & Language Center of St Tamm
Manderville, LA 70448

Phone

(985) 626-8403

Fax

(985) 727-9871

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Speech Language & Learning Center Inc

  • Speech-Language Pathologist
  • Mandeville, LA
  • NPI 1093892721
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184834673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W FLORIDA ST",
            "address_2": "SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM",
            "city": "MANDERVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-626-8403",
            "fax_number": "985-727-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W FLORIDA ST",
            "address_2": "SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM",
            "city": "MANDERVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-626-8403",
            "fax_number": "985-727-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "RANDALL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "12048012",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E Levet, MED CCC SLP

• Speech-Language Pathologist in Manderville, LA
• Providers in Manderville, 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 Jul 8, 2007; 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.