Individual provider Active NPI

Laura Lee Barnett, M.C.S.D./CCC

  • Speech-Language Pathologist
  • Salt Lake City, UT
National Provider Identifier
1033432760
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1108054102 Issued in UT
Practice address
Fairfax Road at Virginia Street
Salt Lake City, UT 84103-4399
Phone
(801) 536-3610
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 1108054102 UT Primary

Addresses

Primary practice location

Fairfax Road at Virginia Street
Salt Lake City, UT 84103-4399

Mailing address

Fairfax Road at Virginia Street
Salt Lake City, UT 84103-4399
Phone (801) 536-3610

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1108054102UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Past Accepting new patients

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1033432760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAIRFAX ROAD AT VIRGINIA STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034399",
            "telephone_number": "801-536-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAIRFAX ROAD AT VIRGINIA STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034399",
            "telephone_number": "801-536-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.C.S.D./CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "1108054102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.