Individual provider Active NPI

Laura S. Smith, LAURA S. SMITH, M.S.

  • Speech-Language Pathologist
  • Mercer Island, WA
National Provider Identifier
1053519744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003617 Issued in WA
Practice address
7683 SE 27TH St
#127
Mercer Island, WA 98040-2804
Phone
(206) 228-8530
Fax
(206) 568-8530
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LL00003617 WA Primary

Addresses

Primary practice location

7683 SE 27TH St
#127
Mercer Island, WA 98040-2804

Mailing address

7683 SE 27TH St
#127
Mercer Island, WA 98040-2804
Phone (206) 228-8530

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
LL00003617WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk SLP LLC Speech-Language Pathologist CurrentSince Apr 27, 2020 Accepting new patients

Locations

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

11050 5th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 228-8530

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053519744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7683 SE 27TH ST",
            "address_2": "#127",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402804",
            "telephone_number": "206-228-8530",
            "fax_number": "206-568-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7683 SE 27TH ST",
            "address_2": "#127",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402804",
            "telephone_number": "206-228-8530",
            "fax_number": "206-568-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LAURA S. SMITH, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.