Jodi Braud Molliere, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4550 Issued in LA

Practice address

37344 Dutchtown Crossing Ave
Gonzales, LA 70737-6283

Phone

(225) 715-8084

NPI assigned

Dec 21, 2020

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Tallulah, LA
  • NPI 1154852382

  Speech-Language Pathologist

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Speech-Language Pathologist

  NPD
• Southern Flex Rehabilitation & Consulting, LLC

  • Physical Therapist
  • Metairie, LA
  • NPI 1144559451

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1841886124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37344 DUTCHTOWN CROSSING AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376283",
            "telephone_number": "225-715-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37344 DUTCHTOWN CROSSING AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376283",
            "telephone_number": "225-715-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLIERE",
        "first_name": "JODI",
        "middle_name": "BRAUD",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Connect LLC
• David V Miranda, PT
• Nakeisha Lebeauf Mitchell, PHARM D
• Mmo of Gonzales, LLC
• Tamisha Molden, RD
• Brian D Monette, MD
• Anthony Andrew Monteleone, LCSW
• Monteyne & Associates, Apmc
• Peter J Monteyne, M.D.
• Brandi L Moore, SLP-CFY

• Speech-Language Pathologist in Gonzales, LA
• Providers in Gonzales, 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 Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.