Laura Mundschau, M.S. SLP
Individual provider Active NPI Speech-Language Pathologist · Bloomfield, NM
NPI 1699102798 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1699102798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SAH-2025-0336 (NM)
- Practice address
- 803 Hacienda LN
Bloomfield, NM 87413-5109 - Phone
- (505) 632-1823
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 600
Tuba City, AZ 86045
PO Box
Suite 600
Tuba City, AZ 86045-0600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260310003132 | TX | Practitioner - Qualified Speech Language Pathologist | 9931682705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP10136 | AZ | MD | Speech-Language Pathologist |
| SA20983 | FL | MD | Speech-Language Pathologist |
| SAH-2025-0336 | NM | MD | Speech-Language Pathologist |
| 3820-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Current |
Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3820-154 | WI | |
| Speech-Language Pathologist | 235Z00000X | SLP10136 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SAH-2025-0336 | NM | Yes |
| Speech-Language Pathologist | 235Z00000X | SA20983 | FL |
Addresses
Primary practice location
803 Hacienda LN
Bloomfield, NM 87413-5109
Mailing address
1010 E Wausau Ave
Wausau, WI 54403-3101
Other providers in Bloomfield, NM
- Amy Elizabeth Massey
- Randy R Maxson
- Cynthia L Miller
- Cortney Dawn Miner Preator
- Carol J. Morehouse
- Nida Naqvi
- Christopher L Nuttall
- Maria Lynn Oliphant
- Victoria Gale Peck
- Sandra Jane Pelto
All providers in Bloomfield, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.