Individual provider Active NPI

Laurielys Cheeseman

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1194506675
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11672 Issued in FL
Practice address
3020 Lakeland Highlands Rd
Lakeland, FL 33803-4338
Phone
(863) 686-3189
Fax
(863) 682-1348
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 SZ11672 FL Primary

Addresses

Primary practice location

3020 Lakeland Highlands Rd
Lakeland, FL 33803-4338

Mailing address

3020 Lakeland Highlands Rd
Lakeland, FL 33803-4338
Phone (863) 686-3189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003812 FL Practitioner - Qualified Speech Language Pathologist 9032642608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ11672FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Speech & Hearing Center Speech-Language Pathologist CurrentSince Oct 29, 2024 Accepting new patients

Locations

3020 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 686-3189

Organizations & group practices 1

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1194506675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 LAKELAND HIGHLANDS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034338",
            "telephone_number": "863-686-3189",
            "fax_number": "863-682-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LAKELAND HIGHLANDS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034338",
            "telephone_number": "863-686-3189",
            "fax_number": "863-682-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESEMAN",
        "first_name": "LAURIELYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.