Active NPI
Deborah J Maxwell
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1689884520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2336
- Practice address
- 600 Wooddale Blvd
206
Baton Rouge, LA 70806-2927 - Phone
- (504) 908-6001
- NPI assigned
- May 22, 2007
- 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 | 2336 | LA | Primary |
Addresses
Primary practice location
600 Wooddale Blvd
206
Baton Rouge, LA 70806-2927
Mailing address
600 Wooddale Blvd
206
Baton Rouge, LA 70806-2927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1332071 | Medicaid | LA |
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 |
|---|---|---|---|
| 2336 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689884520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WOODDALE BLVD",
"address_2": "206",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708062927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WOODDALE BLVD",
"address_2": "206",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708062927",
"telephone_number": "504-908-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DEBORAH",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1332071",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.