Laura Ann McDaniel O'Connell, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14966 Issued in NC

Practice address

3972 Business 17 E Ste D2
Bolivia, NC 28422-9029

Phone

(910) 212-6755

Fax

(910) 946-6212

NPI assigned

Sep 4, 2019

Last updated

Oct 11, 2025By the provider in NPPES

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Supply, NC
  • NPI 1871860544
  Medicare reassignment NPD
• Southport Speech and Language, PLLC

  • Speech-Language Pathologist
  • Bolivia, NC
  • NPI 1386465045
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1740839695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 E CORONADO AVE SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220900",
            "telephone_number": "336-404-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 BUSINESS 17 E STE D2",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284229029",
            "telephone_number": "910-212-6755",
            "fax_number": "910-946-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 E Coronado Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220900",
            "country_code": "US",
            "telephone_number": "910-212-6755 x44802",
            "fax_number": "910-946-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL O'CONNELL",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF SLPS",
            "identifier": "14966",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravi Shankar Maisuria, DDS
• Lawrence James Mason, MD
• Journee Rebekah Matthews
• Michael Maykish, CCC-SLP
• Tracey Nicole McCarthy, DO
• Jennifer Lynn McGlynn, CCC-SLP
• McKeithan Health, PA (Bolivia Medical Center)
• Edward Marvin McKeithan, NP
• Lloyd Calhoun Meeks, M.D.
• Amanda Mizelle, M.S.CCC-SLP

• Speech-Language Pathologist in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.