Active NPI
Laura Marie Brown, SP
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1669749842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10037
- Practice address
- 3419B Melrose Rd
Fayetteville, NC 28304-1608 - Phone
- (513) 310-3418
- NPI assigned
- Nov 16, 2011
- 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 | 10037 | OH | Primary |
Addresses
Primary practice location
3419B Melrose Rd
Fayetteville, NC 28304-1608
Mailing address
3419B Melrose Rd
Fayetteville, NC 28304-1608
Phone (513) 310-3418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2187155 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10037 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1669749842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419B MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "513-310-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419B MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "513-310-3418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LAURA",
"middle_name": "MARIE",
"credential": "SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "10037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2187155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.