Individual provider Active NPI

Laurie V Nazaire, MS, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Jamaica, NY
National Provider Identifier
1356913784
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03247901 Issued in NY
Practice address
16701 Gothic Dr
Jamaica, NY 11432-1935
Phone
(718) 558-9801
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03247901 NY Primary

Addresses

Primary practice location

16701 Gothic Dr
Jamaica, NY 11432-1935

Mailing address

206 Locustwood Blvd
Elmont, NY 11003-2009
Phone (347) 279-4967

Other practice location 1

14310 20th Ave
Whitestone, NY 11357-3098
Phone (718) 961-1212 ext. 1128

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LNazaire2@schools.nyc.gov NYC Department of Education

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114001144 NY Practitioner - Qualified Speech Language Pathologist 6507342110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 Sandford St
Brooklyn, NY 11205-2987

206 Locustwood Blvd
Elmont, NY 11003-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03247901NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1356913784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LOCUSTWOOD BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032009",
            "telephone_number": "347-279-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 GOTHIC DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321935",
            "telephone_number": "718-558-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14310 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113573098",
            "country_code": "US",
            "telephone_number": "718-961-1212 x1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAIRE",
        "first_name": "LAURIE",
        "middle_name": "V",
        "credential": "MS, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-09-07",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "03247901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LNazaire2@schools.nyc.gov",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "NYC Department of Education",
            "address_1": "16701 Gothic Dr",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114321935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.