Individual provider Active NPI

Laurie A. Borick

  • Speech-Language Pathologist
  • Santa Rosa Beach, FL
National Provider Identifier
1659804839
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
#SA 14897 Issued in FL
Practice address
26 Pointe CT
Santa Rosa Beach, FL 32459-4318
Phone
(850) 419-2404
NPI assigned
Apr 5, 2017
Last updated
Apr 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X #SA 14897 FL Primary
Developmental Therapist 222Q00000X SA14897 FL

Addresses

Primary practice location

26 Pointe CT
Santa Rosa Beach, FL 32459-4318

Mailing address

26 Pointe CT
Santa Rosa Beach, FL 32459-4318
Phone (850) 419-2404

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

State licenses

LicenseStateTypeSpecialty
SA14897FLMDDevelopmental Therapist
#SA 14897FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1659804839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 POINTE CT",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594318",
            "telephone_number": "850-419-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 POINTE CT",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594318",
            "telephone_number": "850-419-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORICK",
        "first_name": "LAURIE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "#SA 14897",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA14897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.