Individual provider Active NPI

Lauren B Arbour, MACCCSLP

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1740471655
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4721 Issued in LA
Practice address
463 Ashley Ridge Blvd Ste 100
Shreveport, LA 71106-7231
Phone
(318) 671-8772
Fax
(318) 671-8776
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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 4721 LA Primary

Addresses

Primary practice location

463 Ashley Ridge Blvd Ste 100
Shreveport, LA 71106-7231

Mailing address

463 Ashley Ridge Blvd Ste 100
Shreveport, LA 71106-7231
Phone (318) 671-8772

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
4721LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1740471655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ASHLEY RIDGE BLVD STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067231",
            "telephone_number": "318-671-8772",
            "fax_number": "318-671-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 ASHLEY RIDGE BLVD STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067231",
            "telephone_number": "318-671-8772",
            "fax_number": "318-671-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOUR",
        "first_name": "LAUREN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4721",
            "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 6, 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.

Verify at the official NPI Registry.