Laurie Diane McGuire, SPEECH PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP #5427 Issued in CA

Practice address

Kaiser Permanente Medical Group 3975 Old Redwood Hwy.
Mob 5 - Outpatient Rehab
Santa Rosa, CA 95403

Phone

(707) 566-5844

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Laurie Diane McGuire Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1003112780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 CEDAR ST",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151610",
            "telephone_number": "707-326-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE MEDICAL GROUP 3975 OLD REDWOOD HWY.",
            "address_2": "MOB 5 - OUTPATIENT REHAB",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-566-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "LAURIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP #5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "MCGUIRE",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "credential": "SPEECH PATHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole McGovern
• Michael McGowen
• Kim McGrath, M.A.
• John McGriff IV
• Koren McGuire, RN
• Pamela Jane McGuire
• MCH Medical Equipment Inc
• Jessica L. McIninch, PSY.D.
• Rodney McInnis, RAS I
• Zachary McIntosh

• Speech-Language Pathologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.