Individual provider Active NPI

Devanne Brandi Sours

  • Speech-Language Pathologist
  • New Orleans, LA
National Provider Identifier
1710652508
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8526 Issued in LA
Practice address
810 Euterpe St Apt 9109
New Orleans, LA 70130-8626
Phone
(575) 399-8831
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 8526 LA Primary

Addresses

Primary practice location

810 Euterpe St Apt 9109
New Orleans, LA 70130-8626

Mailing address

810 Euterpe St Apt 9109
New Orleans, LA 70130-8626
Phone (575) 399-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711000044 LA Practitioner - Qualified Speech Language Pathologist 9537528401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8526LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roussel Therapy Services, LLC Speech-Language Pathologist CurrentSince Jun 22, 2023 Accepting new patients

Locations

1959 Highway 3125
Ste 3
Lutcher, LA 70071
Phone (225) 247-5663

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1710652508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EUTERPE ST APT 9109",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701308626",
            "telephone_number": "575-399-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EUTERPE ST APT 9109",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701308626",
            "telephone_number": "575-399-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURS",
        "first_name": "DEVANNE",
        "middle_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.