Individual provider Active NPI

Dawn V Skinner, MA CCC SLP

  • Speech-Language Pathologist
  • Mandeville, LA
National Provider Identifier
1861583635
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2733 Issued in LA
Practice address
1011 N Causeway Blvd Ste 25
Mandeville, LA 70471-3282
Phone
(985) 626-8403
Fax
(985) 727-9871
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01060267 LA
Speech-Language Pathologist 235Z00000X 2733 LA Primary

Addresses

Primary practice location

1011 N Causeway Blvd Ste 25
Mandeville, LA 70471-3282

Mailing address

1011 N Causeway Blvd Ste 25
Mandeville, LA 70471-3282
Phone (985) 626-8403

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 Arts

State licenses

LicenseStateTypeSpecialty
01060267LAMDSpeech-Language Pathologist
2733LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language & Learning Center Inc Speech-Language Pathologist CurrentSince Mar 13, 2022 Accepting new patients

Locations

1011 N Causeway Blvd
Ste 25
Mandeville, LA 70471
Phone (985) 624-5305

255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1861583635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD STE 25",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713282",
            "telephone_number": "985-626-8403",
            "fax_number": "985-727-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD STE 25",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713282",
            "telephone_number": "985-626-8403",
            "fax_number": "985-727-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DAWN",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "01060267",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.