Individual provider Active NPI

Laura Diane Plascencia, MS CFY-SLP

  • Speech-Language Pathologist
  • Paso Robles, CA
National Provider Identifier
1407156151
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6366 Issued in CA
Practice address
784 Oxen St
Paso Robles, CA 93446-4655
Phone
(805) 305-0906
Fax
(805) 880-5859
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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 6366 CA Primary

Addresses

Primary practice location

784 Oxen St
Paso Robles, CA 93446-4655

Mailing address

9010 San Diego Rd
Atascadero, CA 93422-5703
Phone (805) 460-6179

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

LicenseStateTypeSpecialty
6366CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Speech Speech-Language Pathologist Past Accepting new patients

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1407156151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 SAN DIEGO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225703",
            "telephone_number": "805-460-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 OXEN ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464655",
            "telephone_number": "805-305-0906",
            "fax_number": "805-880-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASCENCIA",
        "first_name": "LAURA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MS CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "6366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.