Individual provider Active NPI

Tiffanie J Gladney, MCD CCC-SLP

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1730574195
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5237 Issued in LA
Practice address
1961 Midway St
Shreveport, LA 71108-2200
Phone
(318) 603-6300
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 5237 LA Primary

Addresses

Primary practice location

1961 Midway St
Shreveport, LA 71108-2200

Mailing address

1961 Midway St
Shreveport, LA 71108-2201
Phone (318) 603-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tgladney@caddoschools.org Direct

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

LicenseStateTypeSpecialty
5237LAMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: tgladney@caddoschools.org

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1730574195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 MIDWAY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082201",
            "telephone_number": "318-603-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 MIDWAY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082200",
            "telephone_number": "318-603-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "TIFFANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tgladney@caddoschools.org",
            "affiliation": "N",
            "endpointDescription": "School",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1961 Midway St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711082200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 27, 2021; 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.