Individual provider Active NPI

Denise Marie Solomon, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Kenner, LA
National Provider Identifier
1760504690
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4854 Issued in LA
Practice address
2200 Veterans Memorial Blvd
Suite 103
Kenner, LA 70062-4001
Phone
(504) 461-4266
Fax
(504) 461-9976
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 4854 LA Primary

Addresses

Primary practice location

2200 Veterans Memorial Blvd
Suite 103
Kenner, LA 70062-4001

Mailing address

6B Rue Chardonnay
Kenner, LA 70065-5384
Phone (504) 466-8273

Other identifiers 1

IdentifierTypeStateIssuer
1313751MedicaidLA

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760504690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6B RUE CHARDONNAY",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700655384",
            "telephone_number": "504-466-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-461-4266",
            "fax_number": "504-461-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1313751",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.