Individual provider Active NPI

Rebecca E. Demanuelle

  • Speech-Language Pathologist
  • Baton Rouge, LA
National Provider Identifier
1386279396
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8378 Issued in LA
Practice address
768 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone
(225) 930-0208
Fax
(225) 930-0221
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 8378 LA Primary

Addresses

Primary practice location

768 Chevelle Dr
Baton Rouge, LA 70806-6503

Mailing address

768 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 930-0208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebeccas@abclouisiana.com Direct

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
8378LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access to Better Communication Speech-Language Pathologist PastSince Mar 22, 2020 Accepting new patients
Speech Language & Stuttering Therapy Inc Speech-Language Pathologist PastSince Mar 22, 2020 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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1386279396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-930-0208",
            "fax_number": "225-930-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-930-0208",
            "fax_number": "225-930-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMANUELLE",
        "first_name": "REBECCA",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebeccas@abclouisiana.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "768 Chevelle Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708066503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 11, 2020; 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.