Active NPI
Jennifer Magee Domengeaux, SLP
- Speech-Language Pathologist
- Lafayette, LA
National Provider Identifier
1982975785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4760
- Practice address
- 850 N Pierce St
Suite a
Lafayette, LA 70501-2848 - Phone
- (337) 261-9100
- Fax
- (337) 261-9700
- NPI assigned
- Jan 25, 2012
- 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 | 4760 | LA | Primary |
Addresses
Primary practice location
850 N Pierce St
Suite a
Lafayette, LA 70501-2848
Mailing address
850 N Pierce St
Suite a
Lafayette, LA 70501-2848
Phone (337) 261-9100
Other names 1
- Prof. Jennifer Magee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120228000095 | LA | Practitioner - Qualified Speech Language Pathologist | 5092973701 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthe LLC
Practice addresses (Care Compare)
300 Rue Beauregard
Lafayette, LA 70508-8511
Phone (337) 261-9188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthe, L.L.C. | Past | Accepting new patients | |
| Core Physical Therapy and Performance, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Shreveport, LA
- NPI 1609243716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1982975785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N PIERCE ST",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012848",
"telephone_number": "337-261-9100",
"fax_number": "337-261-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N PIERCE ST",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012848",
"telephone_number": "337-261-9100",
"fax_number": "337-261-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENGEAUX",
"first_name": "JENNIFER",
"middle_name": "MAGEE",
"name_prefix": "Prof.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MAGEE",
"prefix": "PROF.",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.