Individual provider Active NPI

Michael Ward Laycock

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1225454796
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004763 Issued in WA
Practice address
5717 S Chaperon Peak CT
Spokane, WA 99224-6158
Phone
(509) 413-6411
NPI assigned
Mar 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00004763 WA Primary
Speech-Language Pathologist 235Z00000X SLP-2092 ID

Addresses

Primary practice location

5717 S Chaperon Peak CT
Spokane, WA 99224-6158

Mailing address

5717 S Chaperon Peak CT
Spokane, WA 99224-6158
Phone (509) 413-6411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130000456 WA Practitioner - Qualified Speech Language Pathologist 1456704139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

518 W 24TH Ave
Spokane, WA 99203-1924
Phone (509) 879-0332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-2092IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Motion Diagnostic Imaging PLLC Speech-Language Pathologist CurrentSince Mar 1, 2023 Accepting new patients

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": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394236800000",
    "number": "1225454796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 S CHAPERON PEAK CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992246158",
            "telephone_number": "509-413-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 S CHAPERON PEAK CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992246158",
            "telephone_number": "509-413-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYCOCK",
        "first_name": "MICHAEL",
        "middle_name": "WARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004763",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.