Laura Chacon Weiss, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119230 Issued in TX

Practice address

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone

(903) 592-8001

NPI assigned

Nov 13, 2019

Reactivated

Feb 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Chacon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1275178287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAURA",
        "middle_name": "CHACON",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "deactivation_date": "2023-01-11",
        "reactivation_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CHACON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Kristin Weesner, RN
• Allen C. Wegener, M.D.
• Falin N Wehmeir
• Jessica A Weinland, PHARMD
• Kaylae Wisner Weishaar, DO
• Eric Weissmann
• Robert Charles Weissmann III, MD
• Alyssa Welch, M.S., CCC-SLP
• Judson Stewart Welch, P.A.
• Katherine Welch, DPT

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.