Active NPI
Gracie Lane Longmire
- Speech-Language Pathologist
- Bossier City, LA
National Provider Identifier
1891410544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9113
- Practice address
- 1041 Chinaberry Dr Ste 100
Bossier City, LA 71111-2466 - Phone
- (318) 746-1199
- NPI assigned
- Oct 5, 2022
- Last updated
- Mar 11, 2025
- 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 | 9113 | LA | Primary |
Addresses
Primary practice location
1041 Chinaberry Dr Ste 100
Bossier City, LA 71111-2466
Mailing address
1041 Chinaberry Dr Ste 100
Bossier City, LA 71111-2466
Phone (318) 746-1199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9113 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1891410544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 CHINABERRY DR STE 100",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112466",
"telephone_number": "318-746-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 CHINABERRY DR STE 100",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112466",
"telephone_number": "318-746-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGMIRE",
"first_name": "GRACIE",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.