Active NPI
Rebecca Johnson Menard, AU.D.
- Audiologist
- Lafayette, LA
National Provider Identifier
1336420629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6550
- Practice address
- 315 S College Rd
Ste 100
Lafayette, LA 70503-3212 - Phone
- (337) 235-6601
- Fax
- (337) 232-0772
- NPI assigned
- Aug 31, 2011
- Last updated
- Aug 31, 2011
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 6550 | LA | Primary |
Addresses
Primary practice location
315 S College Rd
Ste 100
Lafayette, LA 70503-3212
Mailing address
804 Pelican Ridge CV
Carencro, LA 70520-5863
Phone (337) 278-1079
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6550 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1336420629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 PELICAN RIDGE CV",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705205863",
"telephone_number": "337-278-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S COLLEGE RD",
"address_2": "STE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033212",
"telephone_number": "337-235-6601",
"fax_number": "337-232-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "REBECCA",
"middle_name": "JOHNSON",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "LA",
"license": "6550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.