Organization Active NPI

Hargrove Speech Language Pathology, LLC

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1447633698
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6575 Issued in LA
Legal business name
HARGROVE SPEECH LANGUAGE PATHOLOGY, LLC
Practice address
8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512
Phone
(318) 393-8729
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Kelly McCoy Hargrove, MS, CCC-SLP
Title
Speech-Language Pathologist
Phone
(318) 393-8729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 6575 LA Primary

Addresses

Primary practice location

8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512

Mailing address

8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512

National Provider Directory

National Provider Directory

Locations

8870 Youree Dr
Ste 210
Shreveport, LA 71115
Phone (318) 393-8729

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1447633698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 YOUREE DR",
            "address_2": "SUITE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 YOUREE DR",
            "address_2": "SUITE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152512",
            "telephone_number": "318-393-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARGROVE SPEECH LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "318-393-8729",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.