Active NPI
Michael Ward Laycock
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1225454796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2092 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Motion Diagnostic Imaging PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Spokane, WA
- NPI 1104512870
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.