Individual provider Active NPI

Nicole Marie Delahoussaye, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Metairie, LA
National Provider Identifier
1629371893
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5966 Issued in LA
Practice address
3107 Orris LN
#209
Metairie, LA 70002-5852
Phone
(504) 338-2362
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5966 LA Primary

Addresses

Primary practice location

3107 Orris LN
#209
Metairie, LA 70002-5852

Mailing address

3107 Orris LN
Apt 209
Metairie, LA 70002-5852
Phone (504) 338-2362

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

LicenseStateTypeSpecialty
5966LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1629371893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 ORRIS LN",
            "address_2": "APT 209",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025852",
            "telephone_number": "504-338-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 ORRIS LN",
            "address_2": "#209",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025852",
            "telephone_number": "504-338-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHOUSSAYE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.