Individual provider Active NPI

Monica Guarino Bagley, M.C.D.

  • Speech-Language Pathologist
  • Covington, LA
National Provider Identifier
1457627622
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4736 Issued in LA
Practice address
1331 Ochsner Blvd
Suite 100
Covington, LA 70433-8177
Phone
(205) 821-1778
Fax
(985) 327-7711
NPI assigned
Mar 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2383 AL
Speech-Language Pathologist 235Z00000X 4736 LA Primary

Addresses

Primary practice location

1331 Ochsner Blvd
Suite 100
Covington, LA 70433-8177

Mailing address

PO Box 2013
Mandeville, LA 70470-2013
Phone (205) 821-1778

Other names 1

  • Monica Madeline Guarino Former name

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
2383ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Brain Sport & Spine LLC CurrentSince May 14, 2013 Accepting new patients
Gulf Coast Children'S Speech Services, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1331 Ochsner Blvd
Ste 100
Covington, LA 70433
Phone (205) 821-1778

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": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1457627622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702013",
            "telephone_number": "205-821-1778",
            "fax_number": "985-327-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 OCHSNER BLVD",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338177",
            "telephone_number": "205-821-1778",
            "fax_number": "985-327-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "MONICA",
        "middle_name": "GUARINO",
        "credential": "M.C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2383",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "GUARINO",
            "middle_name": "MADELINE",
            "credential": "M.C.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.