Individual provider Active NPI

Laura Zaidan, MS,CCC-SLP

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1639228869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101019 Issued in TX
Practice address
4332 N McColl Rd
McAllen, TX 78504-2477
Phone
(956) 686-8485
Fax
(956) 686-8489
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101019 TX Primary

Addresses

Primary practice location

4332 N McColl Rd
McAllen, TX 78504-2477

Mailing address

4332 N McColl Rd
McAllen, TX 78504-2477
Phone (956) 686-8485

Other identifiers 1

IdentifierTypeStateIssuer
8T3017OtherTXBCBS PROVIDER ID

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
101019TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Therapeutic Enterprises, LLP Speech-Language Pathologist Past Accepting new patients
RGV Rehab Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639228869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042477",
            "telephone_number": "956-686-8485",
            "fax_number": "956-686-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042477",
            "telephone_number": "956-686-8485",
            "fax_number": "956-686-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDAN",
        "first_name": "LAURA",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8T3017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.