Charlee Bradley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9120 Issued in LA

Practice address

205 Circle Dr
West Monroe, LA 71291-5305

Phone

(318) 381-8520

NPI assigned

Jul 6, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christi Holt, M.a-CCC SLPGroup PAC ID 9931349305, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Christi Holt Ma CCC SLP

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1801168299
  Medicare reassignment Care Compare group NPD
• Smso Anesthesia, LLC

  • Anesthesiology Physician
  • Monroe, LA
  • NPI 1730134636
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1831822972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STERLINGTON RD # 901",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033848",
            "telephone_number": "636-399-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915305",
            "telephone_number": "318-381-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CHARLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@believeachievetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 Circle Dr",
            "city": "West Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712915305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Boyd, LPC-S
• Valerie Boyd
• Sarah Boyett, PT
• Scott T Boyette, M.D.
• Michael Boykin, MD
• Chester Arthur Bradley IV, DMD
• Resa Brady, BC-HIS, COHC
• Haley Bennett Branch
• Jessica Lynn Brantley
• Brandi Moore Brasher, FNP-C

• Speech-Language Pathologist in West Monroe, LA
• Providers in West Monroe, 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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.