Laura Nettesheim, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004263A Issued in IN

Practice address

715 Clinic Dr
West Lafayette, IN 47907-2122

Phone

(765) 494-3789

NPI assigned

Jul 10, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1154705010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 Fieldstone Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479098530",
            "country_code": "US",
            "telephone_number": "765-295-6033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTESHEIM",
        "first_name": "LAURA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004263A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Musser
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• Katie M Neal, FNP-BC
• Joshua Austin Nepute, M.D.
• Brett Newton
• Huey Mei NG, PH.D.
• Joseph Stanley Niskanen
• Noble Mobile
• Allan Fernando Nolasco Arias

• Speech-Language Pathologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.