Individual provider Active NPI

Laurie Slovarp, THERAPIST

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1114965266
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1045 Issued in MT
Practice address
6018 Coburg LN
Missoula, MT 59803-9500
Phone
(406) 360-5740
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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 1045 MT Primary

Addresses

Primary practice location

6018 Coburg LN
Missoula, MT 59803-9500

Mailing address

634 Eddy Ave,
Curry Health, Lower Level
Missoula, MT 59812
Phone (406) 243-2405

Other names 1

  • Laurie Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000633 MT Practitioner - Qualified Speech Language Pathologist 3779748611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Ear Nose and Throat Center PCGroup PAC ID 3678472099, 20 clinicians

Practice addresses (Care Compare)

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1045MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Ear Nose & Throat Center PC CurrentSince Feb 18, 2016 Accepting new patients
University of Montana Current Accepting new patients
University of Montana CurrentSince Aug 1, 2011 Accepting new patients
The University of Montana Speech-Language Pathologist CurrentSince Aug 1, 2011 Accepting new patients

Locations

2760 Elizabeth Warren Ave
Ste B
Butte, MT 59701
Phone (406) 792-1250

120 S 5th St
Ste 105
Hamilton, MT 59840
Phone (406) 363-3366

32 Campus Dr
Ste 129
Missoula, MT 59812
Phone (406) 243-5189

32 Campus Dr
Missoula, MT 59812
Phone (406) 243-0211

32 Campus Dr
Bldg 135
Missoula, MT 59812
Phone (406) 243-6120

634 Eddy Ave
Missoula, MT 59812
Phone (406) 243-2122

700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277

634 Eddy Ave
Lowr
Missoula, MT 59812
Phone (406) 243-2405

32 Campus Dr
Bldg 129
Missoula, MT 59812
Phone (406) 243-4006

Organizations & group practices 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1114965266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 EDDY AVE,",
            "address_2": "CURRY HEALTH, LOWER LEVEL",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59812",
            "telephone_number": "406-243-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 COBURG LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598039500",
            "telephone_number": "406-360-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVARP",
        "first_name": "LAURIE",
        "credential": "THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.