Active NPI
Laura Gibbons
- Speech-Language Pathologist
- Hauppauge, NY
National Provider Identifier
1033569025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046 - Phone
- (631) 366-3876
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046
Mailing address
111 Evans Branch CT
Galivants Ferry, SC 29544-8453
Phone (516) 721-3546
Other practice location 1
101 W 116th St
New York, NY 10026-2521
Phone (212) 787-8315
Other practice location 2
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone (631) 473-4284
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Jane Brain Foundation | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- New York, NY
- NPI 1952774457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1033569025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EVANS BRANCH CT",
"city": "GALIVANTS FERRY",
"state": "SC",
"postal_code": "295448453",
"telephone_number": "516-721-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 VETERANS MEMORIAL HWY STE 8",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-366-3876"
}
],
"practiceLocations": [
{
"address_1": "101 W 116th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100262521",
"country_code": "US",
"telephone_number": "212-787-8315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "299 Hallock Ave",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117761217",
"country_code": "US",
"telephone_number": "631-473-4284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBONS",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.