Brainworks of Louisiana, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3290 Issued in LA

Legal business name

BRAINWORKS OF LOUISIANA, LLC

Practice address

101 La Rue France
Suite 203
Lafayette, LA 70508-3144

Phone

(337) 232-2680

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Fruge, M.C.DNPI 1336275262

Title

Owner/Speech Pathologist

Phone

(337) 232-2680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Fruge, M.C.D., CCC-SLP

  • Speech-Language Pathologist
  • Marrero, LA
  • NPI 1336275262
  NPD (past) Authorized official

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1841439437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WOODVALE AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033536",
            "telephone_number": "337-984-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE",
            "address_2": "SUITE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-232-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINWORKS OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "FRUGE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "337-232-2680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.C.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garren Brailey
• Moses Braimoh, MD
• Brain Injury Nurses of Acadiana
• Brainteasers (LearningRx)
• Brainwire LLC
• Charles E Bramlet Jr., MD
• Jimmy E Brantley
• M. John Braquet, R.PH.
• Paris Brashear
• Kathy Brasley

• Speech-Language Pathologist in Lafayette, LA
• Providers in Lafayette, 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 5, 2009; 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.