Individual provider Active NPI

Sydney Taylor Coughran

  • Speech-Language Pathologist
  • West Monroe, LA
National Provider Identifier
1740905777
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8555 Issued in LA
Practice address
501 McMillan Rd
West Monroe, LA 71291-5327
Phone
(318) 582-5889
NPI assigned
Oct 12, 2022
Last updated
Feb 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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 8555 LA Primary

Addresses

Primary practice location

501 McMillan Rd
West Monroe, LA 71291-5327

Mailing address

1821 Toulouse Cir
Monroe, LA 71201-3663
Phone (318) 272-2182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309001363 LA Practitioner - Qualified Speech Language Pathologist 1557734746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christi Holt Ma CCC SLP Speech-Language Pathologist CurrentSince Nov 24, 2022 Accepting new patients
Smso Anesthesia, LLC PastSince Oct 11, 2020 Accepting new patients

Locations

2401 Oliver Rd
Monroe, LA 71201
Phone (318) 237-3738

107 Contempo Ave
Ste 1
West Monroe, LA 71291
Phone (318) 381-8520

Organizations & group practices 2

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1740905777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 TOULOUSE CIR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013663",
            "telephone_number": "318-272-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-582-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHRAN",
        "first_name": "SYDNEY",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.