Laura Shull, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00737500 Issued in NJ

Practice address

523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418

Phone

(215) 990-1138

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Shay Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multiple Sclerosis Specialty CenterGroup PAC ID 6901965300, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Multiple Sclerosis Specialty Center

  • Neurology Physical Therapist
  • Horsham, PA
  • NPI 1124274501

  NJ, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1013751684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINE RD",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261122",
            "telephone_number": "215-990-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543418",
            "telephone_number": "215-990-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "LAURA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00737500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SHAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Ann Shinn, BCBA
• Bethany L Shivers, M.S., CCC-SLP
• Rachel Lauren Shmuts, D.O.
• Monica Shore, LCSW
• SHP VI Centerton Mount Laurel LLC
• Michael L Sidor, MD
• Sheila Ann Silver, LCSW
• Devin Scott Simpkins, PHD, LAC, NCC
• Rebecca Simpson
• Grechell Siy

• Speech-Language Pathologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Speech-Language Pathologist in New Jersey

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