Individual provider Active NPI

Laura Kathryn Price, MS, CCC-SLP

  • Speech-Language Pathologist
  • McComb, MS
National Provider Identifier
1003661422
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5181 Issued in MS
Practice address
1115 Parklane Dr Ste 308
McComb, MS 39648-4934
Phone
(601) 810-3705
Fax
(877) 236-7977
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 5181 MS Primary

Addresses

Primary practice location

1115 Parklane Dr Ste 308
McComb, MS 39648-4934

Mailing address

1044 Singleton Dr
Summit, MS 39666-8032
Phone (601) 810-3705

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5181MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise and Shine Therapy Collective, LLC Speech-Language Pathologist CurrentSince Apr 21, 2024 Accepting new patients

Locations

1115 Parklane Dr
Ste 308
McComb, MS 39648
Phone (601) 810-3705

Organizations & group practices 1

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1003661422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SINGLETON DR",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668032",
            "telephone_number": "601-810-3705",
            "fax_number": "877-236-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PARKLANE DR STE 308",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484934",
            "telephone_number": "601-810-3705",
            "fax_number": "877-236-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LAURA",
        "middle_name": "KATHRYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.