Hillarie Buck, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9162 Issued in LA

Practice address

5522 Ambassador Caffery Pkwy
Youngsville, LA 70592-5279

Phone

(337) 703-6300

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Care Southeast LLC

  dba Synergy Care Southeast LLC - Louisiana

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055
  Medicare reassignment

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1386328649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W BROAD ST STE 850",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 AMBASSADOR CAFFERY PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925279",
            "telephone_number": "337-703-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "HILLARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haliegh Rae Broussard
• Hannah Marie Broussard
• Taylor Paige Broussard
• Aaliyah Brown
• Megan Claire Bruno
• Avery Lynn Bundrick
• Jonathan Burbank, DDS
• Darian Jenne' Burke
• Keyonna Butler
• Stacy B Byler, MS, LDN, RD

• Speech-Language Pathologist in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.