Individual provider Active NPI

Laura N McDaniel, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Keeseville, NY
National Provider Identifier
1033455977
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022322-1 Issued in NY
Practice address
1850 Main Street
Keeseville, NY 12911
Phone
(518) 390-3572
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 022322-1 NY Primary

Addresses

Primary practice location

1850 Main Street
Keeseville, NY 12911

Mailing address

PO Box 285
Westport, NY 12993-0285

Other practice location 1

10 St Patrick Pl
Port Henry, NY 12974-1200
Phone (518) 546-7151

Other practice location 2

100 Industrial Boulevard
Keeseville, NY 12944
Phone (518) 834-1188

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 Arts

State licenses

LicenseStateTypeSpecialty
022322-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1033455977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "WESTPORT",
            "state": "NY",
            "postal_code": "129930285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MAIN STREET",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "12911",
            "telephone_number": "518-390-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 St Patrick Pl",
            "address_purpose": "LOCATION",
            "city": "Port Henry",
            "state": "NY",
            "postal_code": "129741200",
            "country_code": "US",
            "telephone_number": "518-546-7151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Industrial Boulevard",
            "address_purpose": "LOCATION",
            "city": "Keeseville",
            "state": "NY",
            "postal_code": "12944",
            "country_code": "US",
            "telephone_number": "518-834-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LAURA",
        "middle_name": "N",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022322-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keeseville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.