Active NPI
Marta Lichtl Schexnayder, MCD-CCC/SLP
- Speech-Language Pathologist
- Deridder, LA
National Provider Identifier
1609000496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4999
- Practice address
- 161 Zoe Dr
Deridder, LA 70634-6076 - Phone
- (504) 390-9767
- NPI assigned
- May 7, 2009
- 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 | 4999 | LA | Primary |
Addresses
Primary practice location
161 Zoe Dr
Deridder, LA 70634-6076
Mailing address
PO Box 1407
Deridder, LA 70634-1407
Phone (504) 390-9767
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 |
|---|---|---|---|
| 4999 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1609000496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1407",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706341407",
"telephone_number": "504-390-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 ZOE DR",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706346076",
"telephone_number": "504-390-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEXNAYDER",
"first_name": "MARTA",
"middle_name": "LICHTL",
"credential": "MCD-CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.