Active NPI
Jennifer Macha, MS CCC SLP
- Speech-Language Pathologist
- Lafayette, LA
National Provider Identifier
1780880955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4559
- Practice address
- 312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952 - Phone
- (337) 981-9940
- Fax
- (337) 981-2531
- NPI assigned
- Jun 25, 2007
- 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 | 4559 | LA | Primary |
Addresses
Primary practice location
312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952
Mailing address
312 Guilbeau Rd
Suite 4B
Lafayette, LA 70506-6952
Phone (337) 981-9940
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 |
|---|---|---|---|
| 4559 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Therapy Center, Inc. | 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.
-
- Clinical Psychologist
- Lafayette, LA
- NPI 1003834706
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780880955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD",
"address_2": "SUITE 4B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066952",
"telephone_number": "337-981-9940",
"fax_number": "337-981-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD",
"address_2": "SUITE 4B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066952",
"telephone_number": "337-981-9940",
"fax_number": "337-981-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHA",
"first_name": "JENNIFER",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, 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.