Active NPI
Christina Boudreaux Lott, MCD, L-SLP, CCC-SLP
- Speech-Language Pathologist
- Saint Rose, LA
National Provider Identifier
1285380998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4236
- Practice address
- 230 Pirate Dr
Saint Rose, LA 70087-3616 - Phone
- (504) 464-9254
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 4236 | LA | Primary |
Addresses
Primary practice location
230 Pirate Dr
Saint Rose, LA 70087-3616
Mailing address
13855 River Rd
Luling, LA 70070-6220
Phone (985) 785-6289
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clott@stcharles.k12.la.us | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 4236 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Parish School Board | Past | Accepting new patients | |
| St. Charles Parish School Board | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student Health Clinic/Center
- Luling, LA
- NPI 1932314598
-
- Student Health Clinic/Center
- Luling, LA
- NPI 1982818019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1285380998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13855 RIVER RD",
"city": "LULING",
"state": "LA",
"postal_code": "700706220",
"telephone_number": "985-785-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 PIRATE DR",
"city": "SAINT ROSE",
"state": "LA",
"postal_code": "700873616",
"telephone_number": "504-464-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "CHRISTINA",
"middle_name": "BOUDREAUX",
"credential": "MCD, L-SLP, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clott@stcharles.k12.la.us",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "230 Pirate Dr",
"city": "Saint Rose",
"state": "LA",
"country_code": "US",
"postal_code": "700873616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Rose, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.