Active NPI
Lesley Ann Otts Elliott, CCC-SLP
- Speech-Language Pathologist
- Hornbeck, LA
National Provider Identifier
1962558973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5011
- Practice address
- 2917 Highway 171
Hornbeck, LA 71439-1420 - Phone
- (225) 270-4790
- NPI assigned
- Jan 25, 2007
- Last updated
- Oct 15, 2013
- 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 | 5011 | LA | Primary |
Addresses
Primary practice location
2917 Highway 171
Hornbeck, LA 71439-1420
Mailing address
2917 Highway 171
Hornbeck, LA 71439-1420
Phone (225) 270-4790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2317644 | Medicaid | LA |
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 |
|---|---|---|---|
| 5011 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliott Speech Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Hornbeck, LA
- NPI 1801156278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1962558973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 HIGHWAY 171",
"city": "HORNBECK",
"state": "LA",
"postal_code": "714391420",
"telephone_number": "225-270-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 HIGHWAY 171",
"city": "HORNBECK",
"state": "LA",
"postal_code": "714391420",
"telephone_number": "225-270-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LESLEY",
"middle_name": "ANN OTTS",
"name_prefix": "Miss",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2317644",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hornbeck, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.