Active NPI
Dawn Bordelon, MS, CCC/SLP
- Speech-Language Pathologist
- Madisonville, LA
National Provider Identifier
1578285052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4151
- Practice address
- 138 Belington Ave
Madisonville, LA 70447-9108 - Phone
- (985) 789-6391
- NPI assigned
- Sep 13, 2022
- 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 | 4151 | LA | Primary |
Addresses
Primary practice location
138 Belington Ave
Madisonville, LA 70447-9108
Mailing address
138 Belington Ave
Madisonville, LA 70447-9108
Phone (985) 789-6391
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dawn.bordelon@stpsb.org | Direct | |
| Direct Messaging Address | dawn.bordelon@stpsb.org | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4151 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1578285052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 BELINGTON AVE",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704479108",
"telephone_number": "985-789-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 BELINGTON AVE",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704479108",
"telephone_number": "985-789-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDELON",
"first_name": "DAWN",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dawn.bordelon@stpsb.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dawn.bordelon@stpsb.org",
"address_1": "138 Belington Ave",
"city": "Madisonville",
"state": "LA",
"country_code": "US",
"postal_code": "704479108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dawn.bordelon@stpsb.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dawn.bordelon@stpsb.org",
"address_1": "138 Belington Ave",
"city": "Madisonville",
"state": "LA",
"country_code": "US",
"postal_code": "704479108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madisonville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.