Active NPI
Laurel Elizabeth Thomason
- Speech-Language Pathologist
- Roswell, GA
National Provider Identifier
1063551430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SPL006441
- Practice address
- 11111 Houze Road
Suite 101
Roswell, GA 30076 - Phone
- (770) 998-9599
- Fax
- (770) 645-1313
- NPI assigned
- Feb 5, 2007
- 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 | SPL006441 | GA | Primary |
Addresses
Primary practice location
11111 Houze Road
Suite 101
Roswell, GA 30076
Mailing address
12215 Deer TRL
Alpharetta, GA 30004-8593
Phone (706) 998-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP006441 | Other | GA | SLP |
Other names 1
- Laurel Elizabeth Thomason
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPL006441 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063551430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12215 DEER TRL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048593",
"telephone_number": "706-998-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 HOUZE ROAD",
"address_2": "SUITE 101",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-998-9599",
"fax_number": "770-645-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "LAUREL",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SPL006441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP",
"identifier": "SLP006441",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREL",
"last_name": "THOMASON",
"middle_name": "ELIZABETH",
"credential": "M.A. CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.