Ayanna Colomb Carmouche, MS -L -SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4740 Issued in LA

Practice address

37426 Cypress Place Ave
Geismar, LA 70734-3290

Phone

(337) 280-1666

NPI assigned

Nov 19, 2010

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Care Southeast LLC

  dba Synergy Care Southeast LLC - Louisiana

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055

  Speech-Language Pathologist

  Medicare reassignment NPD
• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1285936583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37426 CYPRESS PLACE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343290",
            "telephone_number": "337-280-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37426 CYPRESS PLACE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343290",
            "telephone_number": "337-280-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "AYANNA",
        "middle_name": "COLOMB",
        "name_prefix": "Mrs.",
        "credential": "MS -L -SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES LA LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9511 Creekview Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708366459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lakeitha Chantel Baker
• Calvin Gregory Bessonet III, DDS
• Dwayne Patrick Bonvillain, DPT, PT
• Tanya Renois Bonvillain, DPT, PT
• Hannah Breazeale
• Tammy D Carpenter, COTA
• Chiropractic 1St, LLC
• Taylar Claiborne, LCSW
• Tara Blake Comardelle, CRNA, MNNA, BSN
• Persis Daniels, MA,CCC-SLP/A

• Speech-Language Pathologist in Geismar, LA
• Providers in Geismar, 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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.