Active NPI
Monica Guarino Bagley, M.C.D.
- Speech-Language Pathologist
- Covington, LA
National Provider Identifier
1457627622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 2383 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Brain Sport & Spine LLC | Current | 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.
-
- Speech-Language Pathologist
- Covington, LA
- NPI 1871930347
-
- Physical Medicine & Rehabilitation Physician
- Covington, LA
- NPI 1699055475
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.