NPIMap

Individual provider Active NPI

Audrea M Scipper, M.S., SLP

  • Speech-Language Pathologist
  • Jennings, LA
National Provider Identifier
1295064772
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6037 Issued in LA
Practice address
21337 Highway 26
Jennings, LA 70546-8534
Phone
(601) 955-1215
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6037 LA Primary

Addresses

Primary practice location

21337 Highway 26
Jennings, LA 70546-8534

Mailing address

21337 Highway 26
Jennings, LA 70546-8534
Phone (601) 955-1215

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Infant & Toddler LLC Speech-Language Pathologist Past Accepting new patients
Lemoine Therapy Services of Cenla Inc Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1295064772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21337 HIGHWAY 26",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468534",
            "telephone_number": "601-955-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21337 HIGHWAY 26",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468534",
            "telephone_number": "601-955-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIPPER",
        "first_name": "AUDREA",
        "middle_name": "M",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.