JOHANNA BOULT PHD
NPI 1164804423
Speech-Language Pathologist in Shreveport, LA

NPI Status: Active since June 23, 2015

Contact Information

1450 CLAIBORNE AVE
SHREVEPORT, LA
ZIP 71103
Phone: (318) 813-2970
Fax: (318) 813-2981

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  • Individual
  • Female
  • Speech-Language Pathologist

About JOHANNA BOULT

This page provides the complete NPI Profile along with additional information for Johanna Boult, a provider established in Shreveport, Louisiana with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1164804423 assigned on June 2015. The practitioner's primary taxonomy code is 235Z00000X with license number 4477 (LA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1164804423
Provider Name
JOHANNA BOULT PHD
Other Name
JOHANNA WEDDLE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1450 CLAIBORNE AVE SHREVEPORT, LA 71103
Location Phone
(318) 813-2970
Location Fax
(318) 813-2981
Mailing Address
1501 KINGS HWY SHREVEPORT, LA 71103
Mailing Phone
(318) 813-2970
Mailing Fax
(318) 813-2981
Is Sole Proprietor?
No
Enumeration Date
06-23-2015
Last Update Date
06-23-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
4477
License State
LA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1174173MEDICAID (05)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164804423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124160844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 0 + 8 + 4 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1164804423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932350725 STANLEY KEITH MCCALLON
Individual
Physical Therapist1450 CLAIBORNE AVE SCHOOL OF ALLIED HEALTH BUILDING
SHREVEPORT, LA 71103
(318) 675-5000
1023248093 CLAIRE MARIE MELEBECK PT
Individual
Physical Therapist1450 CLAIBORNE AVE SCHOOL OF ALLIED HEALTH
SHREVEPORT, LA 71103
(318) 813-2961
1083927065 AMANDA CALDWELL
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1942509997 BRENNAN ANTHONY BERNARD
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1508144387 GENELLE MONIQUE GARCIA
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1396007225 BARBARA PEYTON
Individual
Specialist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1649568536 JOHN WESLEY THOMPSON IV DPT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1104160381 DIANA MERENDINO DPT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1871926360 MASON L MCGEE DPT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1497900187MR. ADAM THOMAS BLANCHER PH.D.
Individual
Psychologist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2960
1295144590 JEFFREY MURPHY DPT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1720454325 FAUTINA TRAN
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1154797736 KIMBERLY PHELPS
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1881060408 JULIE SMITH
Individual
Speech-Language Pathologist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1154519130 JULIE ANN HARRIS DPT
Individual
Physical Therapist (Orthopedic)1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2972
1720023773 AMANDA MAHONEY DPT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1518279363MRS. PAYTON BROOKS MCCALMONT
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2962
1649627563 AMANDA BERNARD
Individual
Physical Therapist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1710029848MRS. STEPHANIE S CURRIE MS, CCC-SLP
Individual
Speech-Language Pathologist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970
1134572191 DIANNA DRUMMOND SLP
Individual
Speech-Language Pathologist1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
(318) 813-2970

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164804423, enumerated in the NPI registry as an "individual" on June 23, 2015

The provider is located at 1450 Claiborne Ave Shreveport, La 71103 and the phone number is (318) 813-2970

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 23, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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