Laurie A Ragan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL000134L Issued in PA

Practice address

3054 Enterprise Dr
State College, PA 16801-2755

Phone

(814) 234-6023

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurie A Staub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sfionline/r4/

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.

• Strawberry Fields, Inc

  • Case Management Agency
  • State College, PA
  • NPI 1386705135
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1679693303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012755",
            "telephone_number": "814-234-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012755",
            "telephone_number": "814-234-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "LAURIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000134L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019087730003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "STAUB",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• QBC, LLC
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• Katelyn Quick, RDN
• Heather Quy, RN
• R & R Optical Inc
• Ainsley Rager, M.ED
• Courteney Michele Rager, PA-C
• Anitha Raj, M.D.
• Cayra Coral Ramirez Santiago
• Salvatore M. Ramondelli, M.D.

• Speech-Language Pathologist in State College, PA
• Providers in State College, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.