Active NPI
Laura Love Harris, M.S., C.C.C.
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1356534739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S2226
- Practice address
- 4500 I 55 N
Suite 291, Highland Village
Jackson, MS 39211-5930 - Phone
- (601) 362-0859
- Fax
- (601) 362-0870
- NPI assigned
- Aug 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2226 | MS | Primary |
Addresses
Primary practice location
4500 I 55 N
Suite 291, Highland Village
Jackson, MS 39211-5930
Mailing address
PO Box 242
Raymond, MS 39154-0242
Phone (601) 857-0556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120957 | Medicaid | MS |
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 |
|---|---|---|---|
| S2226 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1356534739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242",
"city": "RAYMOND",
"state": "MS",
"postal_code": "391540242",
"telephone_number": "601-857-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 I 55 N",
"address_2": "SUITE 291, HIGHLAND VILLAGE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115930",
"telephone_number": "601-362-0859",
"fax_number": "601-362-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LAURA",
"middle_name": "LOVE",
"name_prefix": "Mrs.",
"credential": "M.S., C.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S2226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120957",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.