Active NPI
Elizabeth Redding, SLP
- Occupational Therapy Assistant
- Monroe, LA
National Provider Identifier
1295063964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 803 Stubbs Ave
Ste D
Monroe, LA 71201 - Phone
- (318) 388-8414
- Fax
- (318) 388-8558
- NPI assigned
- Nov 18, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
803 Stubbs Ave
Ste D
Monroe, LA 71201
Mailing address
83 Stubbs Ave
Ste D
Monroe, LA 71201
Phone (318) 388-8414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA200143 | Other | LA | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1295063964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 STUBBS AVE",
"address_2": "STE D",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-388-8414",
"fax_number": "318-388-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 STUBBS AVE",
"address_2": "STE D",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-388-8414",
"fax_number": "318-388-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "ELIZABETH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA STATE BOARD OF MEDICAL EXAMINERS",
"identifier": "OTA200143",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.