Active NPI
Ellie Puckett
- Speech-Language Pathologist
- Ruston, LA
National Provider Identifier
1477324846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7097
- Practice address
- 335 Woods Rd
Ruston, LA 71270-7148 - Phone
- (318) 533-6000
- NPI assigned
- Jan 12, 2024
- Last updated
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7097 | LA | Primary |
Addresses
Primary practice location
335 Woods Rd
Ruston, LA 71270-7148
Mailing address
335 Woods Rd
Ruston, LA 71270-7148
Phone (318) 533-6000
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 |
|---|---|---|---|
| 7097 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1477324846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 WOODS RD",
"city": "RUSTON",
"state": "LA",
"postal_code": "712707148",
"telephone_number": "318-533-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 WOODS RD",
"city": "RUSTON",
"state": "LA",
"postal_code": "712707148",
"telephone_number": "318-533-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "ELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "7097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
- Professional Hospice Care, L.L.C. (Allegiance Hospice Care of Northeast Louisiana)
- Jacques Prudhomme
- Lydia Prudhomme
- Rhonda Renee Pruitt, DMD
- Sherry Pruitt
- Quality Care at Home, LLC
- Quick Care of Ruston, L.L.C.
- Rain to Rainbow Counseling & Consulting
- Rainbow Health Access
- Nora Linda Ramachandran, M.A., CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.