Laurel E Mendoza, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115936 Issued in TX

Practice address

1102 Winkler Ave
Killeen, TX 76542-6249

Phone

(254) 634-8505

Fax

(254) 781-4312

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/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.

• Barr Physical Therapy, P.C.

  • Pediatric Physical Therapist
  • Killeen, TX
  • NPI 1306927553

  Speech-Language Pathologist

  NPD
• Barr Physical Therapy, P.C.

  • Speech-Language Pathologist
  • Killeen, TX
  • NPI 1063769685
  NPD (past)
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1740616655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DONNIE AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418918",
            "telephone_number": "254-634-8505",
            "fax_number": "254-781-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 WINKLER AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426249",
            "telephone_number": "254-634-8505",
            "fax_number": "254-781-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Cherryville Road",
            "address_2": "c/o AAC Specialists LLC",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801211504",
            "country_code": "US",
            "telephone_number": "303-204-5188",
            "fax_number": "303-761-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Walterscheid Blvd Apt 6-202",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820072013",
            "country_code": "US",
            "telephone_number": "760-987-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Winkler Ave",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "76542",
            "country_code": "US",
            "telephone_number": "254-634-8505",
            "fax_number": "254-781-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LAUREL",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP0001976",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "ASHA14045910",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850441031",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Melendez, PSYD
• Steven Melter, DMD, MA
• Eleanor L. Melville, L.C.S.W.
• Inyoung Luna Mendes, FNP-C
• Daphne Mendoza
• Felisa Menendez
• Elizabeth Merrell
• Eric Merrell, BCBA
• Jacob Paul Merrell, DDS
• Joshua William Merrell

• Speech-Language Pathologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.