Active NPI
Laurie Hanson Dunlap, M.S.
- Speech-Language Pathologist
- Texarkana, AR
National Provider Identifier
1245300698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#2245
- Practice address
- 2414 Lavender LN
Texarkana, AR 71854-3330 - Phone
- (903) 733-5829
- Fax
- (903) 733-5829
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- 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 | SP#2245 | AR | Primary |
| Speech-Language Pathologist | 235Z00000X | 101814 | TX |
Addresses
Primary practice location
2414 Lavender LN
Texarkana, AR 71854-3330
Mailing address
2414 Lavender LN
Texarkana, AR 71854-3330
Phone (903) 733-5829
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157520721 | Medicaid | AR | |
| 8T3906 | Other | TX | TX BCBS |
| 021289601 | Medicaid | TX | |
| 5Y289 | Other | AR | AR BCBS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#2245 | AR | MD | Speech-Language Pathologist |
| 101814 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Memorial Pediatric Center Inc. | Past | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Texarkana, TX
- NPI 1972654663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1245300698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 LAVENDER LN",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718543330",
"telephone_number": "903-733-5829",
"fax_number": "870-779-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 LAVENDER LN",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718543330",
"telephone_number": "903-733-5829",
"fax_number": "903-733-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "LAURIE",
"middle_name": "HANSON",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#2245",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101814",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157520721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX BCBS",
"identifier": "8T3906",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021289601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5Y289",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.