Elizabeth Claire Breaux

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8592 Issued in LA

Practice address

110 Bowie Rd
Thibodaux, LA 70301-6703

Phone

(985) 513-2697

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Claire Bergeron Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Baton Rouge Speech and Hearing Foundation, Inc

  • Speech-Language Pathologist
  • Baton Rouge, LA
  • NPI 1447450929
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1457973570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LAKE OLIVIA DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703011628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOWIE RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016703",
            "telephone_number": "985-513-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7784 Innovation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708207006",
            "country_code": "US",
            "telephone_number": "225-343-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BERGERON",
            "middle_name": "CLAIRE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria M Braud, M.D.
• Robin Braud, RPH
• Jorge Jose Bravo II, MD
• Madisson Brayton, PLPC
• Corrine Stein Breaud, R.N.
• Ellen Breaux, M.S., CCC-SLP
• Kayla Breaux
• Kristen Breaux, BA
• Lynn Noel Breaux, AUD.,CCC-A
• Rebecca M Breaux, NP

• Speech-Language Pathologist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.