Active NPI
Mary Irma Thomas, M.S.
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1376988428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2342
- Practice address
- 4691 Sugarland Dr
Baton Rouge, LA 70814-8069 - Phone
- (225) 936-2070
- Fax
- (225) 756-8601
- NPI assigned
- May 2, 2013
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2342 | LA | Primary |
Addresses
Primary practice location
4691 Sugarland Dr
Baton Rouge, LA 70814-8069
Mailing address
4691 Sugarland Dr
Baton Rouge, LA 70814-8069
Phone (225) 936-2070
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2342 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1376988428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4691 SUGARLAND DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708148069",
"telephone_number": "225-936-2070",
"fax_number": "225-756-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4691 SUGARLAND DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708148069",
"telephone_number": "225-936-2070",
"fax_number": "225-756-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARY",
"middle_name": "IRMA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.