Active NPI
Lacee Hinzman, SLP
- Speech-Language Pathologist
- New Cumberland, WV
National Provider Identifier
1356985402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2032
- Practice address
- 130 Rockefeller Cir
New Cumberland, WV 26047-9435 - Phone
- (304) 364-3411
- NPI assigned
- Nov 1, 2019
- 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 | SLP-2032 | WV | Primary |
Addresses
Primary practice location
130 Rockefeller Cir
New Cumberland, WV 26047-9435
Mailing address
130 Rockefeller Cir
New Cumberland, WV 26047-9435
Phone (304) 364-3411
Other names 1
- Lacee Laurito
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2032 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1356985402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ROCKEFELLER CIR",
"city": "NEW CUMBERLAND",
"state": "WV",
"postal_code": "260479435",
"telephone_number": "304-364-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ROCKEFELLER CIR",
"city": "NEW CUMBERLAND",
"state": "WV",
"postal_code": "260479435",
"telephone_number": "304-364-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINZMAN",
"first_name": "LACEE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACEE",
"last_name": "LAURITO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Cumberland, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.