Individual provider Active NPI

Sarah L Domec, SLP

  • Speech-Language Pathologist
  • Lafayette, LA
National Provider Identifier
1467765339
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6290 Issued in LA
Practice address
353 Doucet Rd
Ste a-2
Lafayette, LA 70503-3444
Phone
(337) 216-7758
Fax
(337) 216-7787
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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 6290 LA Primary

Addresses

Primary practice location

353 Doucet Rd
Ste a-2
Lafayette, LA 70503-3444

Mailing address

353 Doucet Rd
Ste a-2
Lafayette, LA 70503-3444
Phone (337) 216-7758

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6290LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Solutions of Louisiana Past Accepting new patients
Rehab Solutions L.L.C. 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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1467765339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 DOUCET RD",
            "address_2": "STE A-2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033444",
            "telephone_number": "337-216-7758",
            "fax_number": "337-216-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 DOUCET RD",
            "address_2": "STE A-2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033444",
            "telephone_number": "337-216-7758",
            "fax_number": "337-216-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMEC",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.