Individual provider Active NPI

Laura Julia Garcia, M.A., M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1063795490
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12140439 Issued in NY
Practice address
700 E 179TH St
Bronx, NY 10457-5006
Phone
(646) 669-7168
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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 12140439 NY Primary

Addresses

Primary practice location

700 E 179TH St
Bronx, NY 10457-5006

Mailing address

167 E 77TH St
Apt. 1
New York, NY 10075-1947
Phone (305) 984-4149

Other practice location 1

167 E 77th St
apt. 1
New York, NY 10075-1947
Phone (305) 984-4149

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
12140439NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1063795490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E 77TH ST",
            "address_2": "APT. 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751947",
            "telephone_number": "305-984-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 179TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575006",
            "telephone_number": "646-669-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 E 77th St",
            "address_2": "apt. 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751947",
            "country_code": "US",
            "telephone_number": "305-984-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LAURA",
        "middle_name": "JULIA",
        "credential": "M.A., M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12140439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.