Laura Randen, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2016006990 Issued in MO

Practice address

312 Stepping Stone Way
Cape Girardeau, MO 63701-8388

Phone

(573) 225-3639

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Dysphagia Diagnostics and Speech Services, LLCGroup PAC ID 8527491760, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Elite Dysphagia Diagnostics & Speech Services, LLC

  dba Elite Mobile Therapy & Wellness

  • Speech-Language Pathologist
  • Cape Girardeau, MO
  • NPI 1184280729
  Medicare reassignment Care Compare group NPD Authorized official
• Semo Stemcell Institute LLC

  • Medical Specialty Clinic/Center
  • Poplar Bluff, MO
  • NPI 1174114102
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1730541996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 STEPPING STONE WAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018388",
            "telephone_number": "573-225-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 STEPPING STONE WAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018388",
            "telephone_number": "573-225-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDEN",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016006990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiance Health Group, LLC
• Munira M Rahman-Anwar, DO
• Andrew Patrick Ralls, D.O.
• Katie Ramirez, LPC
• James D Ramsey, M.D.
• Erin Randol, MSW, LCSW
• Caitlin Randolph
• Ratliff Enterprises LLC (Sprigg Street Manor)
• Ratliff Enterprises LLC (Ratliff Care Center)
• Jordan Taylor Ratliff

• Speech-Language Pathologist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.