Lashawnda Deline Washington, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Belzoni, MS

NPI 1992060883 · NPPES record last updated Jul 7, 2012

Key facts

NPI
1992060883
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S3216 (MS)
Practice address
127 Harvey St
Belzoni, MS 39038-3111
Phone
(817) 733-4458
NPI assigned
Jul 7, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S3216MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3216 MS Yes

Addresses

Primary practice location

127 Harvey St
Belzoni, MS 39038-3111

Mailing address

127 Harvey St
Belzoni, MS 39038-3111
Phone (817) 733-4458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 7, 2012.

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1992060883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HARVEY ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383111",
            "telephone_number": "817-733-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HARVEY ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383111",
            "telephone_number": "817-733-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LASHAWNDA",
        "middle_name": "DELINE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belzoni, MS

All providers in Belzoni, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.