Laura L Odom, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2663 Issued in LA

Practice address

2495 Shreveport Hwy # 71
Pineville, LA 71360-4044

Phone

(318) 473-0010

Fax

(318) 483-5117

NPI assigned

Aug 11, 2009

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Alexandri VA Medical Center

  • General Acute Care Hospital
  • Pineville, LA
  • NPI 1326123050
  NPD (past)
• Department of Veterans Affairs Medical Center

  • Long Term Care Hospital
  • Pineville, LA
  • NPI 1063594885
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1164654083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69004",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713069004",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY # 71",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey Norris
• Northland Hearing Center, Inc.
• Nudirection Peer & Recovery Support Services
• Matthew Wade Nugent Jr., PHARM D
• Heather Joane Oates, LCSW
• Damon Ogle, LMT
• Omotayo Mutiat Olatinwo, M.D.
• Janet Leckie Opdenhoff, LMT
• Marian W Oquin, MSW, LCSW-BACS
• Maciah Leeanne Ortman

• Speech-Language Pathologist in Pineville, LA
• Providers in Pineville, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.