Individual provider Active NPI

Bobbi Lecoq, M.S. C.F.-S.L.P.

  • Speech-Language Pathologist
  • Broussard, LA
National Provider Identifier
1821548389
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7607 Issued in LA
Practice address
211 Portsmouth Dr
Broussard, LA 70518-3540
Phone
(337) 459-7756
NPI assigned
Oct 9, 2016
Last updated
Oct 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7607 LA Primary

Addresses

Primary practice location

211 Portsmouth Dr
Broussard, LA 70518-3540

Mailing address

211 Portsmouth Dr
Broussard, LA 70518-3540

Other names 1

  • Bobbi Marie Comeaux Former name

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

LicenseStateTypeSpecialty
7607LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1821548389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PORTSMOUTH DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PORTSMOUTH DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183540",
            "telephone_number": "337-459-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECOQ",
        "first_name": "BOBBI",
        "credential": "M.S. C.F.-S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "COMEAUX",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2016; 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.