Individual provider Active NPI

Laree Eileen Earl, M.S.

  • Speech-Language Pathologist
  • Apex, NC
National Provider Identifier
1417090713
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13640 Issued in NC
Practice address
852 Perry Rd
Apex, NC 27502-7701
Phone
(919) 446-5670
Fax
(919) 267-4761
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011477-1 NY
Speech-Language Pathologist 235Z00000X 13640 NC Primary

Addresses

Primary practice location

852 Perry Rd
Apex, NC 27502-7701

Mailing address

849 Bristol Bridge Dr
Cary, NC 27519-1011
Phone (516) 658-7755

Other practice location 1

33 Independence Way
Miller Place, NY 11764-2337
Phone (631) 474-2620

Other practice location 2

849 Bristol Bridge Dr
Cary, NC 27519-1011
Phone (516) 658-7755

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
011477-1NYMDPsychologist
13640NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehabilitation and Sports Physical Therapy, PC PastSince Sep 6, 2020 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1417090713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BRISTOL BRIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191011",
            "telephone_number": "516-658-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 PERRY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027701",
            "telephone_number": "919-446-5670",
            "fax_number": "919-267-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Independence Way",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642337",
            "country_code": "US",
            "telephone_number": "631-474-2620",
            "fax_number": "631-474-1142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Bristol Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275191011",
            "country_code": "US",
            "telephone_number": "516-658-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARL",
        "first_name": "LAREE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011477-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.