Foundations Pediatric Center LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FOUNDATIONS PEDIATRIC CENTER LLC

Practice address

4300 Lake St
Lake Charles, LA 70605

Phone

(337) 304-9391

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Jessica PardoNPI 1912404161

Title

Owner/Partner

Phone

(337) 304-9391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Pardo, SLP

  • Speech-Language Pathologist
  • Lake Charles, LA
  • NPI 1912404161
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1942069737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054310",
            "telephone_number": "337-429-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-304-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS PEDIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "337-304-9391"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Keith Forsyth, MD
• Corey G Foster, MD
• Kemberly Foster
• William F Foster Jr., M.D.
• Foundations Counseling & Wellness LLC
• Hollis Walsdorf Fousse, PTA
• Jared George Fox, CRNA
• Laura Ladawn Foxall, LMSW
• Sarah France
• Jessica Francis, FNP-C

• Speech-Language Pathologist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.