Individual provider Active NPI

Lisa T Suire III

  • Speech-Language Pathologist
  • Baton Rouge, LA
National Provider Identifier
1457433716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202 Issued in LA
Practice address
768 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone
(225) 930-0208
Fax
(225) 930-0221
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2202 LA Primary

Addresses

Primary practice location

768 Chevelle Dr
Baton Rouge, LA 70806-6503

Mailing address

30644 John Dr
Denham Springs, LA 70726-2125
Phone (225) 664-0220

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
2202LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language & Stuttering Therapy Inc Speech-Language Pathologist Past Accepting new patients
Access to Better Communication Speech-Language Pathologist Past 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457433716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30644 JOHN DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262125",
            "telephone_number": "225-664-0220"
        },
        {
            "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": "SUIRE",
        "first_name": "LISA",
        "middle_name": "T",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2202",
            "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 Jul 8, 2007; 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.