Active NPI
Brittany Pellow, MS, CCC/SLP
- Speech-Language Pathologist
- Covington, LA
National Provider Identifier
1639415409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6609
- Practice address
- 321 N Theard St
Covington, LA 70433-2835 - Phone
- (985) 974-7483
- NPI assigned
- Dec 21, 2012
- 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 | 6609 | LA | Primary |
Addresses
Primary practice location
321 N Theard St
Covington, LA 70433-2835
Mailing address
501 Branch Crossing Dr
Covington, LA 70435-5645
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 |
|---|---|---|---|
| 6609 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1639415409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BRANCH CROSSING DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704355645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N THEARD ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332835",
"telephone_number": "985-974-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLOW",
"first_name": "BRITTANY",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Pediatric Therapy and Learning Center of the Northshore
- Marilyn Evelyn Pelias, M.D.
- Pelican Orthotics and Prosthetics
- Pellegrin Healthcare LLC
- Naomi Hess Pellichino, PA-C
- Heather Bradford Peltier, MSW
- Sarah Waguespack Pemberton, DPT
- Ana H Penton, MPT
- Beau J Pepin, CAC
- Brittany M Peralta, RN, BSN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.