Laura Louise Cooney Jameson, SLP
Individual provider Active NPI Speech-Language Pathologist · Alice, TX
NPI 1124422159 · NPPES record last updated Mar 18, 2020
Key facts
- NPI
- 1124422159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2010030200 (MO)
- Practice address
- 204 E 1St St
Alice, TX 78332-4822 - Phone
- (573) 639-2151
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Care Southeast LLC
Practice addresses (Care Compare)
6336 Woodway Dr
Houston, TX 77057-1750
Phone (713) 423-6066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604001112 | TX | Practitioner - Qualified Speech Language Pathologist | 1850862426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010030200 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2010030200 | MO | Yes |
Addresses
Primary practice location
204 E 1St St
Alice, TX 78332-4822
Mailing address
725 Mariana Dr
Corpus Christi, TX 78418-4778
Phone (573) 356-2724
Other names
- Laura Louise Nelson
Other providers in Alice, TX
- Coastal Bend Orthopedics Supply, Inc.
- Community Action Corporation of South Texas
- Community Action Corporation of South Texas
- Community Action Corporation of South Texas
- Communtiy Action Head Start Services
- Counseling Resources of South Texas, PC
- Country Road Emergency Physicians, PLLC
- Christina Celeste Cruz
- Cuellar & Cuellar, P.L.L.C.
- Rafael Cuellar Jr.
All providers in Alice, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.