LACEY J MCBRIDE (NPI# 1891015855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891015855 |
| Entity Type | Individual |
| Full Name | LACEY J MCBRIDE |
| Other Name | LACEY J MONTIE |
| Credential | M.S., CCC-SLP |
| Practice Address |
2522 E 70th St Shreveport LA 71105-4002 |
| Practice Telephone | 3187953388 |
| Practice Fax Number | 3187953399 |
| Mailing Telephone | 3187953388 |
| Mailing Fax Number | 3187953399 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6571 | LA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 105034 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
2522 E 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524875 | Elizabeth Mae Fargerson | Assistant Behavior Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-09-25 |
| 1033727565 | Olivia Felsher-smith | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1760090245 | Doughty Mccall Cowart | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1639787153 | Kristyn Alyse Peacock | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1003430471 | Ashley King | Behavioral Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-06-02 |
| 1922635416 | Erika Loren Tejada | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-24 |
| 1760018477 | Mary Katherine Walker | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-14 |
| 1801434428 | Savanna Taelor Witthoeft | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-12-13 |
| 1164068615 | Megan Theriot | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-11-20 |
| 1114562253 | Amber S Wynn | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 | 71105 |
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| 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.