Active NPI
Jessica T Szush, MCD CCCSLP
- Speech-Language Pathologist
- Houma, LA
National Provider Identifier
1780701904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5245
- Practice address
- 620 School St
Houma, LA 70360 - Phone
- (985) 872-3285
- Fax
- (985) 872-3205
- NPI assigned
- Mar 23, 2007
- 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 | 5245 | LA | Primary |
Addresses
Primary practice location
620 School St
Houma, LA 70360
Mailing address
645 Fairway Drive
Thibodaux, LA 70301
Phone (985) 688-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475998 | Medicaid | LA |
Other names 1
- Mrs. Jessica Szush Granier
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5245 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodes Rehabilitation LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780701904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 FAIRWAY DRIVE",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "70301",
"telephone_number": "985-688-5773",
"fax_number": "985-872-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SCHOOL ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "70360",
"telephone_number": "985-872-3285",
"fax_number": "985-872-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZUSH",
"first_name": "JESSICA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MCD CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1475998",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GRANIER",
"middle_name": "SZUSH",
"prefix": "MRS.",
"credential": "MCD CCCSLP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.