Individual provider Active NPI

Carla M Broggi

  • Speech-Language Pathologist
  • Denham Springs, LA
National Provider Identifier
1740437045
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5919 Issued in LA
Practice address
36020 Wilmington Ave
Denham Springs, LA 70706-1523
Phone
(225) 590-6220
NPI assigned
Aug 19, 2008
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 5919 LA Primary

Addresses

Primary practice location

36020 Wilmington Ave
Denham Springs, LA 70706-1523

Mailing address

36020 Wilmington Ave
Denham Springs, LA 70706-1523
Phone (225) 590-6220

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
5919LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cmbroggi LLC Current Accepting new patients
Speech Language & Stuttering Therapy Inc Speech-Language Pathologist Past Accepting new patients
Access to Better Communication Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1740437045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36020 WILMINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061523",
            "telephone_number": "225-590-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36020 WILMINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061523",
            "telephone_number": "225-590-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGGI",
        "first_name": "CARLA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.