Active NPI
Laura Taylor Eaddy, CF-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1750642344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CF
- Practice address
- 100 Meredith Dr
Durham, NC 27713-5237 - Phone
- (919) 484-0012
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CF | NC | Primary |
Addresses
Primary practice location
100 Meredith Dr
Durham, NC 27713-5237
Mailing address
100 Meredith Dr
Durham, NC 27713-5237
Phone (919) 484-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1750642344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEREDITH DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135237",
"telephone_number": "919-484-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEREDITH DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135237",
"telephone_number": "919-484-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADDY",
"first_name": "LAURA",
"middle_name": "TAYLOR",
"credential": "CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "CF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Jacqueline Robyn Dzau, JACQUELINE DZAU
- Victor Joseph Dzau, M.D.
- Konrad Michael Dziamski, M.D.
- Kafui Dzirasa, MD, PHD
- Tyanna Eaddy-Harris
- Paige Eades, PHARMD
- Kathryn Elizabeth Eager, CPNP-AC/PC
- Eagle Acquisition IV LLC (Concordia Transitional Care and Rehabilitation - Rose Manor)
- Marcia R Eagle
- James Hamilton Eaker, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.