Active NPI
Johnette Dyan Segura, CCC-SLP
- Speech-Language Pathologist
- Port Arthur, TX
National Provider Identifier
1780835983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24625
- Practice address
- 4225 Lake Arthur Dr
Port Arthur, TX 77642-6490 - Phone
- (409) 727-3193
- NPI assigned
- Oct 7, 2008
- 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 | 24625 | TX | Primary |
Addresses
Primary practice location
4225 Lake Arthur Dr
Port Arthur, TX 77642-6490
Mailing address
9254 Bayou Din Dr
Beaumont, TX 77705-7605
Phone (409) 794-3045
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 |
|---|---|---|---|
| 24625 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1780835983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9254 BAYOU DIN DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777057605",
"telephone_number": "409-794-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 LAKE ARTHUR DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776426490",
"telephone_number": "409-727-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURA",
"first_name": "JOHNETTE",
"middle_name": "DYAN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "24625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.