Active NPI
Jessica Weicks, M.S.
- Speech-Language Pathologist
- Lacombe, LA
National Provider Identifier
1598925810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5940
- Practice address
- 24265 Cane Byu
Lacombe, LA 70445-6125 - Phone
- (985) 869-4183
- NPI assigned
- Jun 10, 2008
- Last updated
- Jun 10, 2008
- 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 | 5940 | LA | Primary |
Addresses
Primary practice location
24265 Cane Byu
Lacombe, LA 70445-6125
Mailing address
132 Butternut LN
Mandeville, LA 70448-1096
Phone (985) 674-0357
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 |
|---|---|---|---|
| 5940 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1598925810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 BUTTERNUT LN",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481096",
"telephone_number": "985-674-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24265 CANE BYU",
"city": "LACOMBE",
"state": "LA",
"postal_code": "704456125",
"telephone_number": "985-869-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEICKS",
"first_name": "JESSICA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacombe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.