Individual provider Active NPI

Avery-Grace Files, SLP

  • Speech-Language Pathologist
  • Ruston, LA
National Provider Identifier
1316782758
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9579 Issued in LA
Practice address
1603 Goodwin Rd
Ruston, LA 71270-2907
Phone
(318) 255-7550
Fax
(318) 255-7552
NPI assigned
Jun 27, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 9579 LA Primary

Addresses

Primary practice location

1603 Goodwin Rd
Ruston, LA 71270-2907

Mailing address

1605 Stubbs Ave
Monroe, LA 71201-5629
Phone (318) 388-8414

Other practice location 1

1605 Stubbs Ave
Monroe, LA 71201-5629
Phone (318) 388-8414

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

LicenseStateTypeSpecialty
9579LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1316782758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015629",
            "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": "1603 GOODWIN RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702907",
            "telephone_number": "318-255-7550",
            "fax_number": "318-255-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Stubbs Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015629",
            "country_code": "US",
            "telephone_number": "318-388-8414",
            "fax_number": "318-388-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILES",
        "first_name": "AVERY-GRACE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.