Individual provider Active NPI

Phelicia Shanae Neal, SLPA

  • Speech-Language Assistant
  • Shreveport, LA
National Provider Identifier
1659296648
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
9993 Issued in LA
Practice address
625 Dixie Garden Dr
Shreveport, LA 71105-3807
Phone
(318) 865-3576
NPI assigned
Aug 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 9993 LA Primary

Addresses

Primary practice location

625 Dixie Garden Dr
Shreveport, LA 71105-3807

Mailing address

5400 Barksdale Blvd Apt 1623
Bossier City, LA 71112-4858
Phone (318) 200-4056

Other practice location 1

441 Atlantic Ave
Shreveport, LA 71105-2911
Phone (318) 861-2403

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

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1659296648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BARKSDALE BLVD APT 1623",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124858",
            "telephone_number": "318-200-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DIXIE GARDEN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053807",
            "telephone_number": "318-865-3576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052911",
            "country_code": "US",
            "telephone_number": "318-861-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "PHELICIA",
        "middle_name": "SHANAE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "LA",
            "license": "9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.