Active NPI
Johnson & Johnson'S Speech, Language, and Hearing Clinic, LLC
- Early Intervention Provider Agency
- Baton Rouge, LA
National Provider Identifier
1265620397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 5824
- Legal business name
- JOHNSON & JOHNSON'S SPEECH, LANGUAGE, AND HEARING CLINIC, LLC
- Practice address
- 2036 Wooddale Blvd
Suite L
Baton Rouge, LA 70806-1518 - Phone
- (225) 928-6887
- Fax
- (225) 928-6851
- NPI assigned
- Oct 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juanta Trenise Buggage, M. ED.
- Title
- Licensed Speechlanguage Pathologist
- Phone
- (225) 244-1823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 5824 | LA | Primary |
Addresses
Primary practice location
2036 Wooddale Blvd
Suite L
Baton Rouge, LA 70806-1518
Mailing address
14453 Bywood Ave
Baton Rouge, LA 70819-2006
Phone (225) 244-1823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023680 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2036 Wooddale Blvd
Ste L
Baton Rouge, LA 70806
Phone (225) 928-6887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1871736264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1265620397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14453 BYWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708192006",
"telephone_number": "225-244-1823",
"fax_number": "225-376-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 WOODDALE BLVD",
"address_2": "SUITE L",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061518",
"telephone_number": "225-928-6887",
"fax_number": "225-928-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON & JOHNSON'S SPEECH, LANGUAGE, AND HEARING CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "BUGGAGE",
"authorized_official_first_name": "JUANTA",
"authorized_official_middle_name": "TRENISE",
"authorized_official_title_or_position": "LICENSED SPEECHLANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "225-244-1823",
"authorized_official_credential": "M. ED."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "LA",
"license": "5824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023680",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.