Active NPI
Jennifer Acosta Roddy, MCD
- Speech-Language Pathologist
- Metairie, LA
National Provider Identifier
1902038011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5170
- Practice address
- 512 Focis Street
Metairie, LA 70005 - Phone
- (504) 835-9608
- NPI assigned
- Aug 23, 2009
- Last updated
- Dec 2, 2011
- 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 | 5170 | LA | Primary |
Addresses
Primary practice location
512 Focis Street
Metairie, LA 70005
Mailing address
512 Focis St
Metairie, LA 70005-3438
Phone (504) 835-9608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 W Jefferson St
Louisville, KY 40202-2881
PO Box
Suite 69211
Baltimore, MD 21264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5170 | LA | MD | Dentist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Tallulah, LA
- NPI 1154852382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1902038011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 FOCIS ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053438",
"telephone_number": "504-835-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 FOCIS STREET",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70005",
"telephone_number": "504-835-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "JENNIFER",
"middle_name": "ACOSTA",
"credential": "MCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-23",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.