Active NPI
Camille Alexis Merendino, M.C.D., CCC-SLP
- Speech-Language Pathologist
- Baton Rough, LA
National Provider Identifier
1891313078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8342
- Practice address
- 9511 Crestview Drive
Ste B
Baton Rough, LA 70836 - Phone
- (225) 224-0114
- NPI assigned
- Jul 14, 2020
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 8342 | LA | Primary |
Addresses
Primary practice location
9511 Crestview Drive
Ste B
Baton Rough, LA 70836
Mailing address
PO Box 168
Crystal Springs, MS 39059-0168
Phone (850) 588-9641
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8342 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1891313078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 168",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390590168",
"telephone_number": "850-588-9641",
"fax_number": "888-711-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 CRESTVIEW DRIVE",
"address_2": "STE B",
"city": "BATON ROUGH",
"state": "LA",
"postal_code": "70836",
"telephone_number": "225-224-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERENDINO",
"first_name": "CAMILLE",
"middle_name": "ALEXIS",
"credential": "M.C.D., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.