Active NPI
Jaime Lyn Harper, M.S.,CCC-SLP
- Speech-Language Pathologist
- Deridder, LA
National Provider Identifier
1770811630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5930
- Practice address
- 5055 Highway 26
Deridder, LA 70634-7337 - Phone
- (337) 396-5850
- NPI assigned
- Dec 3, 2009
- Reactivated
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 5930 | LA | Primary |
Addresses
Primary practice location
5055 Highway 26
Deridder, LA 70634-7337
Mailing address
5055 Highway 26
Deridder, LA 70634-7337
Phone (337) 396-5850
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5930 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1770811630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 HIGHWAY 26",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706347337",
"telephone_number": "337-396-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 HIGHWAY 26",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706347337",
"telephone_number": "337-396-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "JAIME",
"middle_name": "LYN",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2015-06-09",
"deactivation_date": "2015-05-27",
"reactivation_date": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.