Active NPI
Mollie Margaret Matthews, SLP
- Speech-Language Pathologist
- Lafayette, LA
National Provider Identifier
1265703409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5189
- Practice address
- 850 N Pierce St
Suite a
Lafayette, LA 70501-2848 - Phone
- (337) 261-9100
- Fax
- (337) 261-9700
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5189 | LA | Primary |
Addresses
Primary practice location
850 N Pierce St
Suite a
Lafayette, LA 70501-2848
Mailing address
850 N Pierce St
Suite a
Lafayette, LA 70501-2848
Phone (337) 261-9100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5189 | LA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1265703409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N PIERCE ST",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012848",
"telephone_number": "337-261-9100",
"fax_number": "337-261-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N PIERCE ST",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012848",
"telephone_number": "337-261-9100",
"fax_number": "337-261-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MOLLIE",
"middle_name": "MARGARET",
"name_prefix": "Prof.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.