Active NPI
Molly M Brouillette, MCD, CCC-SLP
- Speech-Language Pathologist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5512
- Practice address
- 1900 Gravier St
9TH Floor
New Orleans, LA 70112-2262 - Phone
- (504) 568-6520
- Fax
- (504) 568-4352
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5512 | LA | Primary |
Addresses
Primary practice location
1900 Gravier St
9TH Floor
New Orleans, LA 70112-2262
Mailing address
1900 Gravier St
9TH Floor
New Orleans, LA 70112-2262
Phone (504) 568-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.21 of 100
- Quality
- 81.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients |
Locations
478 S Johnson St
Fl 6
New Orleans, LA 70112
Phone (504) 412-1819
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
411 S Prieur St
Ste 307
New Orleans, LA 70112
1900 Gravier St
Fl 9
New Orleans, LA 70112
Phone (504) 568-4250
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
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 and National Provider Directory roles.
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1760927479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 GRAVIER ST",
"address_2": "9TH FLOOR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122262",
"telephone_number": "504-568-6520",
"fax_number": "504-568-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GRAVIER ST",
"address_2": "9TH FLOOR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122262",
"telephone_number": "504-568-6520",
"fax_number": "504-568-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUILLETTE",
"first_name": "MOLLY",
"middle_name": "M",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.