CODY BRONDON CULBREATH (NPI# 1487274049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487274049 |
| Entity Type | Individual |
| Full Name | CODY BRONDON CULBREATH |
| Practice Address |
1736 Irving Pl Shreveport LA 71101-4606 |
| Mailing Address |
206 Ixworth Ave Bossier City LA 71111-7100 |
| Practice Telephone | 3182211983 |
| Mailing Telephone | 3183316993 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6548 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
1736 IRVING PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209372 | Senior Management Services of Shreveport LLC | Skilled Nursing Facility | 1736 Irving Pl, Shreveport, LA 71101-4606 | 2005-10-19 |
| 1912062043 | Irving Place Associates, L.p. | Skilled Nursing Facility | 1736 Irving Pl, Shreveport, LA 71101-4606 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295370 | Jennifer Martin Cloutet | Speech-Language Pathologist | 8842 Mccain Rd, Shreveport, LA 71107-9245 | 2020-05-04 |
| 1851924237 | Jeter Speech Language Pathology Services, LLC | Speech-Language Pathologist | 31 Spring Lake Way, Shreveport, LA 71106-4700 | 2020-02-13 |
| 1952952863 | Renee M Humpal | Speech-Language Pathologist | 7606 Tampa Way, Shreveport, LA 71105-5407 | 2019-09-23 |
| 1932765401 | Curtistine Louann Earnest | Speech-Language Pathologist | 6117 Verona Ln, Shreveport, LA 71105-4831 | 2019-05-10 |
| 1295298388 | Rebecca Durr | Speech-Language Pathologist | 9533 Rochel Dr, Shreveport, LA 71115-3854 | 2019-04-07 |
| 1184111767 | Rachel Gernand | Speech-Language Pathologist | 1800 Buckner St Ste C247, Shreveport, LA 71101-4440 | 2018-04-18 |
| 1215453907 | Becky Evans | Speech-Language Pathologist | 8870 Youree Dr Ste 208, Shreveport, LA 71115-2512 | 2017-08-15 |
| 1851812846 | Mary Beth Tucker | Speech-Language Pathologist | 141 Dalton St, Shreveport, LA 71106-7401 | 2017-06-29 |
| 1518488733 | Gisele Proby Bryant | Speech-Language Pathologist | 6007 Financial Plz Ste 223, Shreveport, LA 71129-2657 | 2017-06-28 |
| 1689109027 | Ashley Serwan | Speech-Language Pathologist | 2522 E.70th Street, Shreveport, LA 71105 | 2017-04-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on CODY BRONDON CULBREATH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.