Active NPI
Micki L Dopson, ST
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1407527989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8840
- Practice address
- 1805 College Dr
Baton Rouge, LA 70808-1919 - Phone
- (225) 923-3420
- Fax
- (225) 922-9316
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 8840 | LA | Primary |
Addresses
Primary practice location
1805 College Dr
Baton Rouge, LA 70808-1919
Mailing address
1805 College Dr
Baton Rouge, LA 70808-1919
Phone (225) 923-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1394149 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdopson@mcmainscdc.org | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8840 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1407527989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 COLLEGE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708081919",
"telephone_number": "225-923-3420",
"fax_number": "225-922-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 COLLEGE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708081919",
"telephone_number": "225-923-3420",
"fax_number": "225-922-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOPSON",
"first_name": "MICKI",
"middle_name": "L",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1394149",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdopson@mcmainscdc.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1805 College Dr",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708081919",
"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 Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.