Active NPI
Laura Marie Vincent, M.S. CCC-SLP
- Speech-Language Pathologist
- Nampa, ID
National Provider Identifier
1306095153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1430
- Practice address
- 314 N Bonner Dr
Nampa, ID 83651-1801 - Phone
- (208) 880-6228
- Fax
- (208) 466-9873
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1430 | ID | Primary |
Addresses
Primary practice location
314 N Bonner Dr
Nampa, ID 83651-1801
Mailing address
314 N Bonner Dr
Nampa, ID 83651-1801
Phone (208) 880-6228
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 |
|---|---|---|---|
| SLP-1430 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1306095153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 N BONNER DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511801",
"telephone_number": "208-880-6228",
"fax_number": "208-466-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 N BONNER DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511801",
"telephone_number": "208-880-6228",
"fax_number": "208-466-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "LAURA",
"middle_name": "MARIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.