Active NPI
Laura Freeman, M.S.,CCC-SLP
- Speech-Language Pathologist
- Lubbock, TX
National Provider Identifier
1508377144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101952
- Practice address
- 6502 Slide Rd Ste 204
Lubbock, TX 79424-1311 - Phone
- (806) 686-0429
- NPI assigned
- Oct 23, 2017
- 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 | 101952 | TX | Primary |
Addresses
Primary practice location
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Mailing address
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Phone (806) 686-0429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101952 | Medicaid | TX |
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 |
|---|---|---|---|
| 101952 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1508377144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 SLIDE RD STE 204",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241311",
"telephone_number": "806-686-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 SLIDE RD STE 204",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241311",
"telephone_number": "806-686-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101952",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.