Laura Qualls, SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI60971562 Issued in WA

Practice address

5112 NW Taylor Rd
Bremerton, WA 98312-8837

Phone

(360) 373-2536

Fax

(360) 373-4934

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1114315801
  NPD
• Holly Ridge Center

  • Pediatric Physical Therapist
  • Bremerton, WA
  • NPI 1861549206

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1508408048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 NW TAYLOR RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128837",
            "telephone_number": "360-373-2536",
            "fax_number": "360-373-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 NW TAYLOR RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128837",
            "telephone_number": "360-373-2536",
            "fax_number": "360-373-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "LAURA",
        "credential": "SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60971562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Felipe Purificacion
• Sarah Purificacion
• Jesseryl Purificaion
• Delynn G Purser, RPH.
• Kymm Putman
• Christy Cameron Quebral, MSW
• Ronald W. Quenzer, MD
• Lisa Ann Quinn-Hulley
• Sandra Quinn
• Arageili Quisano

• Speech-Language Pathologist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.