Active NPI
Tanya Chauvin Bourgoyne, M.A., CCC-SLP
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1962619320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3867
- Practice address
- 535 W Roosevelt St
Baton Rouge, LA 70802-7844 - Phone
- (225) 343-4232
- Fax
- (225) 343-4233
- NPI assigned
- May 16, 2007
- 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 | 3867 | LA | Primary |
Addresses
Primary practice location
535 W Roosevelt St
Baton Rouge, LA 70802-7844
Mailing address
535 W Roosevelt St
Baton Rouge, LA 70802-7844
Phone (225) 343-4232
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3867 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1962619320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W ROOSEVELT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708027844",
"telephone_number": "225-343-4232",
"fax_number": "225-343-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W ROOSEVELT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708027844",
"telephone_number": "225-343-4232",
"fax_number": "225-343-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGOYNE",
"first_name": "TANYA",
"middle_name": "CHAUVIN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "3867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.