Individual provider Active NPI

Laura Ellen Schuch, M.A-SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
National Provider Identifier
1104034636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2006036026 Issued in MO
Practice address
2606 Gardenia St
Cape Girardeau, MO 63703-5728
Phone
(573) 332-8863
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

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 2006036026 MO Primary

Addresses

Primary practice location

2606 Gardenia St
Cape Girardeau, MO 63703-5728

Mailing address

2606 Gardenia St
Cape Girardeau, MO 63703-5728
Phone (573) 332-8863

Other identifiers 1

IdentifierTypeStateIssuer
2006036026OtherMOMO LICENSE

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

LicenseStateTypeSpecialty
2006036026MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104034636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 GARDENIA ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035728",
            "telephone_number": "573-332-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 GARDENIA ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035728",
            "telephone_number": "573-332-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCH",
        "first_name": "LAURA",
        "middle_name": "ELLEN",
        "name_prefix": "Miss",
        "credential": "M.A-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006036026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2006036026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

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.