Individual provider Active NPI

Jamie Dyess, MS, L-SLP, CCC-SLP

  • Speech-Language Pathologist
  • Livingston, LA
National Provider Identifier
1992314652
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8447 Issued in LA
Practice address
13909 Florida Blvd
Livingston, LA 70754-6340
Phone
(225) 686-7044
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8447 LA Primary

Addresses

Primary practice location

13909 Florida Blvd
Livingston, LA 70754-6340

Mailing address

13909 Florida Blvd
Livingston, LA 70754-6340
Phone (409) 882-2128

Other identifiers 1

IdentifierTypeStateIssuer
2645854MedicaidLA

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 Science

State licenses

LicenseStateTypeSpecialty
8447LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Parish School System PastSince May 12, 2024 Accepting new patients
Livingston Parish School System PastSince May 12, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1992314652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707546340",
            "telephone_number": "409-882-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707546340",
            "telephone_number": "225-686-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYESS",
        "first_name": "JAMIE",
        "credential": "MS, L-SLP, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2645854",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.