Active NPI
Laura Haskell Mayberry
- Speech-Language Pathologist
- Simpsonville, SC
National Provider Identifier
1184882821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 239 Heathermoor Way
Simpsonville, SC 29680-7657 - Phone
- (864) 608-1919
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
239 Heathermoor Way
Simpsonville, SC 29680-7657
Mailing address
239 Heathermoor Way
Simpsonville, SC 29680-7657
Phone (864) 608-1919
Other names 1
- Miss Laura McKenzie Haskell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1184882821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 HEATHERMOOR WAY",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807657",
"telephone_number": "864-608-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 HEATHERMOOR WAY",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807657",
"telephone_number": "864-608-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "LAURA",
"middle_name": "HASKELL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HASKELL",
"middle_name": "MCKENZIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Simpsonville, SC
- Joan Eileen Massey, L.AC/DOM
- Hunter David Masters
- Matrix Rehabilitation Solutions, LLC
- Matrix Rehabilitation South Carolina, Inc. (Select Physical Therapy)
- Mollie Matz, DDS
- Lara Mayers, LISW-CP
- Sandra Jean Maylock, MSW, LISW-CP
- Terester McAllister
- James Coan McAlpine III
- Lindsey Brianne McAmis Gouge, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.