NPIMap

Individual provider Active NPI

Laura Padgett, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hereford, AZ
National Provider Identifier
1679649800
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6387 Issued in AZ
Practice address
10385 E Hwy 92
Hereford, AZ 85615-8370
Phone
(520) 366-6204
Fax
(520) 366-0313
NPI assigned
Nov 28, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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 SLP6387 AZ Primary
Speech-Language Pathologist 235Z00000X SA5892 FL

Addresses

Primary practice location

10385 E Hwy 92
Hereford, AZ 85615-8370

Mailing address

PO Box 38
Hereford, AZ 85615-0038
Phone (520) 366-6204

Other identifiers 3

IdentifierTypeStateIssuer
891556300MedicaidFL
812014500MedicaidFL
S9320OtherFLBCBS OF FLORIDA

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
SLP6387AZMDSpeech-Language Pathologist
SA5892FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palominas School District Past Accepting new patients
Palominas Scholl District 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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1679649800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856150038",
            "telephone_number": "520-366-6204",
            "fax_number": "520-366-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10385 E HWY 92",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158370",
            "telephone_number": "520-366-6204",
            "fax_number": "520-366-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6387",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891556300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812014500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "S9320",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.