Bryony Stafford – Speech-Language Pathologist

Key facts

NPI: 1568077642
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 5338 (LA)
Practice address: 25190 Blood River Rd
Springfield, LA 70462
Phone: (225) 294-3398
NPI assigned: Sep 15, 2020
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
5338	LA	MD	General Practice Dentistry

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	5338	LA	Yes

Addresses

Primary practice location

25190 Blood River Rd
Springfield, LA 70462

Mailing address

25190 Blood River Rd
Springfield, LA 70462
Phone (225) 294-3398

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	Bryony.stafford@lpsb.org	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2020.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1568077642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25190 BLOOD RIVER RD",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "70462",
            "telephone_number": "225-294-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25190 BLOOD RIVER RD",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "70462",
            "telephone_number": "225-294-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BRYONY",
        "credential": "MS CCC-SLP. L-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bryony.stafford@lpsb.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25190 Blood River Rd",
            "city": "Springfield",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, LA

All providers in Springfield, LA · Speech-Language Pathologist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.