Laurie Angela Southard

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202001863 Issued in VA

Practice address

1413 Laskin Rd
Virginia Beach, VA 23451-6007

Phone

(757) 263-2800

NPI assigned

Mar 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Virginia Beach City Public Schools

  • Local Education Agency (LEA)
  • Virginia Beach, VA
  • NPI 1346250065
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1740782424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BRASILENO DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566436",
            "telephone_number": "757-721-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 LASKIN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516007",
            "telephone_number": "757-263-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "LAURIE",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2202001863",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Sottung
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• Sound Waves Speech Therapy LLC (Sound Waves Voice & Communication)
• Amber Lynn Sourbeer, PA-C
• Source One Mobility, Inc
• Southeast Industries, Inc
• Southeast Virginia Psychiatry PLLC
• Southeastern Surgical Associates, P.C.
• Southern Made Home Care
• Southern Surgical Associates PLLC

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.