Alicia Ann Cantrell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6380 Issued in LA

Practice address

50 Pinecrest Dr
Pineville, LA 71360-4283

Phone

(318) 640-9656

NPI assigned

May 29, 2019

Last updated

May 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Alicia Ann Irving Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Care Southeast LLC

  dba Synergy Care Southeast LLC - Louisiana

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055

  Speech-Language Pathologist

  NPD
• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1790343440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W SHORE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032092",
            "telephone_number": "601-316-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINECREST DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604283",
            "telephone_number": "318-640-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oakscc@affiliatedrehab.com",
            "affiliation": "N",
            "address_1": "50 Pinecrest Dr",
            "city": "Pineville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713604283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "IRVING",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MS,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Calloway, BS
• Alton Brent Campbell, CRNA
• Tina Campbell, M.S., CCC-SLP
• Ingrid D Cannella, L.P.C
• Vicki G Cannella, LCSW
• Tawana R Carmouche, LOTR
• Cendi Coutee Carpenter
• Hannah Raye Carpenter
• Jerelyn Carpenter
• Dana Carrington, MSW,LCSW

• Speech-Language Pathologist in Pineville, LA
• Providers in Pineville, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.