Laurie Lynn Crain, MASTERS OF SCIENCE

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

50798 Issued in MS

Practice address

1321 DD Sunset Dr
Grenada, MS 38901

Phone

(662) 226-0101

Fax

(662) 226-9458

NPI assigned

May 1, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Pathology Services

  • Speech-Language Pathologist
  • Grenada, MS
  • NPI 1598947475
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356562136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "address_2": "1321 DD SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0101",
            "fax_number": "662-226-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 DD SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0101",
            "fax_number": "662-226-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MASTERS OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "50798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016200",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Henry Coleman, D.M.D.
• Andrea Jemae Collins, M.D.
• Community Care Center of Grenada, LLC
• Anna Cooper
• Covenant Cove Care LLC
• Wallace Edgar Cresswell, P.T.
• Betsy Cummings, CFNP
• Robyn Richardson Dalton
• Darley J Solomon Jr MD PC
• David R Braswell DMD PA

• Speech-Language Pathologist in Grenada, MS
• Providers in Grenada, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.