Active NPI
Emily Anita St.Laurent
- Developmental Therapist
- Lakeville, MA
National Provider Identifier
1003264383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- S56659928
- Practice address
- 2 Settlers Dr
Lakeville, MA 02347-3602 - Phone
- (774) 766-8378
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | S56659928 | MA | Primary |
Addresses
Primary practice location
2 Settlers Dr
Lakeville, MA 02347-3602
Mailing address
2 Settler'S Dr.
Lakeville, MA 02347
Phone (774) 766-8378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S56659928 | MA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1003264383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SETTLER'S DR.",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "02347",
"telephone_number": "774-766-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SETTLERS DR",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023473602",
"telephone_number": "774-766-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.LAURENT",
"first_name": "EMILY",
"middle_name": "ANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MA",
"license": "S56659928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.