Organization Active NPI

Johnson & Johnson'S Speech, Language, and Hearing Clinic, LLC

  • Early Intervention Provider Agency
  • Baton Rouge, LA
National Provider Identifier
1265620397
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
5824 Issued in LA
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

Updated by the provider on Aug 10, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1023680MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.