Individual provider Active NPI

Laura Frances Landry

  • Speech-Language Pathologist
  • Lafayette, LA
National Provider Identifier
1003433004
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1629 Issued in LA
Practice address
200 Lakewood Dr
Lafayette, LA 70503-2214
Phone
(337) 278-8278
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1629 LA Primary

Addresses

Primary practice location

200 Lakewood Dr
Lafayette, LA 70503-2214

Mailing address

200 Lakewood Dr
Lafayette, LA 70503-2214
Phone (337) 278-8278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917001623 LA Practitioner - Qualified Speech Language Pathologist 5395163612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Clinic of Lafayette, Inc.Group PAC ID 9931283223, 11 clinicians

Practice addresses (Care Compare)

1432 S College Rd
Lafayette, LA 70503-2912
Phone (337) 232-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1629LAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic of Lafayette, Inc. Speech-Language Pathologist CurrentSince Sep 1, 2020 Accepting new patients
Physical Therapy Clinic of Lafayette, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1432 S College Rd
Lafayette, LA 70503
Phone (318) 232-7080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1003433004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAKEWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032214",
            "telephone_number": "337-278-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKEWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032214",
            "telephone_number": "337-278-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "LAURA",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.