Active NPI
Ann Ellen Luellen Sr., SLP
- Speech-Language Pathologist
- West Monroe, LA
National Provider Identifier
1508043456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1743
- Practice address
- 159 Sanford Lane
West Monroe, LA 71291-1902 - Phone
- (318) 396-7652
- Fax
- (318) 396-9008
- NPI assigned
- Jan 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1743 | LA | Primary |
Addresses
Primary practice location
159 Sanford Lane
West Monroe, LA 71291-1902
Mailing address
159 Sanford Lane
West Monroe, LA 71291-1902
Phone (318) 396-7652
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 |
|---|---|---|---|
| 1743 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1508043456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 SANFORD LANE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712911902",
"telephone_number": "318-396-7652",
"fax_number": "318-396-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 SANFORD LANE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712911902",
"telephone_number": "318-396-7652",
"fax_number": "318-396-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUELLEN",
"first_name": "ANN",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"name_suffix": "Sr.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "1743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.