NPI Code Detail JSON Logo

1174335418 NPI number — MACY ELIZABETH FONTENOT DUPRE M.S., PL-SLP, CF-SLP

NPI Number: 1174335418
Health Care Provider/Practitioner: MACY ELIZABETH FONTENOT DUPRE M.S., PL-SLP, CF-SLP

Information about “1174335418” NPI (MACY ELIZABETH FONTENOT DUPRE M.S., PL-SLP, CF-SLP) exists in 1174335418 in HTML format HTML  |  1174335418 in plain Text format TXT  |  1174335418 in PDF (Portable Document Format) PDF  |  1174335418 in an XML format XML  formats.

NPI Number : 1174335418 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174335418",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUPRE",
    "FirstName": "MACY",
    "MiddleName": "ELIZABETH FONTENOT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., PL-SLP, CF-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3880 FAUBOURG RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70589-5509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1535 WEST MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VILLE PLATTE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70586",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-506-2294",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2025",
    "LastUpdateDate": "01/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "9600",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.