Active NPI
Laura Soukup, M.S., CCC-SLP
- Speech-Language Pathologist
- Reno, NV
National Provider Identifier
1477803922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12155864
- Practice address
- 5820 Lindsay Drive
Reno, NV 89523 - Phone
- (775) 240-2028
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 12155864 | NV | Primary |
Addresses
Primary practice location
5820 Lindsay Drive
Reno, NV 89523
Mailing address
5820 Lindsay Drive
Reno, NV 89523
Phone (775) 240-2028
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12155864 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1477803922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 LINDSAY DRIVE",
"city": "RENO",
"state": "NV",
"postal_code": "89523",
"telephone_number": "775-240-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 LINDSAY DRIVE",
"city": "RENO",
"state": "NV",
"postal_code": "89523",
"telephone_number": "775-240-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUKUP",
"first_name": "LAURA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "12155864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.