Laura Jennifer Nine, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9355 Issued in NC

Practice address

1805 Mt Isle Harbor Dr
Charlotte, NC 28214-5405

Phone

(704) 258-1724

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Pediatric Theraplay Speech Services, Inc.

  • Early Intervention Provider Agency
  • Charlotte, NC
  • NPI 1942286372

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1629316377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 PERIMETER STATION DR",
            "address_2": "APT. 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163358",
            "telephone_number": "336-549-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MT ISLE HARBOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145405",
            "telephone_number": "704-258-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINE",
        "first_name": "LAURA",
        "middle_name": "JENNIFER",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pouneh Mofrad Nikrooz, MD
• Sara Wright Nilsson, MSW, LCSWA
• Olivia Bedell Nimley
• Nimon
• Nine Lives Behavioral Health Collective PLLC
• Ana Nirean
• Swati A Nirodi, MS, LPC
• Dana Kathryn Nisley
• Chelsea Nicole Nist, CRNA
• Bowen Niu

• All providers in Charlotte, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.