Laure Pena, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020677-1 Issued in NY

Practice address

132 Abba Way
Taylors, SC 29687-2375

Phone

(516) 286-2351

NPI assigned

Oct 21, 2011

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Shield of David, Inc.

  dba The Shield Institute

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  NPD (past)

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1407131493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ABBA WAY",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ABBA WAY",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872375",
            "telephone_number": "516-286-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LAURE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In-Moon Iris Park, DC
• Patriot Living of Taylors, LLC
• Jaalah H Patterson
• Alexandra Patti
• Ashley Nicole Peace, NP
• Clara Amanda Phillips, OTR/L
• Jeffrey Martin Phillips, M.D.
• Lakaya V Pitts, LPN
• Plaisted Dental Care LLC
• James Michael Plaisted, DDS

• Speech-Language Pathologist in Taylors, SC
• Providers in Taylors, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.