Active NPI
Maggie Johnson, M.S.
- Speech-Language Pathologist
- New Iberia, LA
National Provider Identifier
1841939352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9067
- Practice address
- 3913 Highway 14
New Iberia, LA 70560-9435 - Phone
- (337) 577-4100
- Fax
- (337) 660-2241
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9067 | LA | Primary |
Addresses
Primary practice location
3913 Highway 14
New Iberia, LA 70560-9435
Mailing address
3913 Highway 14
New Iberia, LA 70560-9435
Phone (337) 577-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9067 | Other | LA | LBESPA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://michelle-moss.clientsecure.me |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9067 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1841939352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 HIGHWAY 14",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705609435",
"telephone_number": "337-577-4100",
"fax_number": "337-660-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3913 HIGHWAY 14",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705609435",
"telephone_number": "337-577-4100",
"fax_number": "337-660-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAGGIE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LBESPA",
"identifier": "9067",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://michelle-moss.clientsecure.me",
"affiliation": "N",
"address_1": "3913 Highway 14",
"city": "New Iberia",
"state": "LA",
"country_code": "US",
"postal_code": "705609435",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.