Laurel A. Ethier, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

839 Issued in NM

Practice address

450 Southern Blvd SE
Rio Rancho, NM 87124-3206

Phone

(505) 994-3305

Fax

(505) 994-3316

NPI assigned

Feb 27, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760519938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHERISH CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243206",
            "telephone_number": "505-994-3305",
            "fax_number": "505-994-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHIER",
        "first_name": "LAUREL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Z2857",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Estrada, OD
• Ariyana Estrada
• John Anselmo Estrada
• Lauren Estrada, LCSW
• Cailey Jordan Etherington
• Erin Nicole Etzel, PH.D.
• Rhonda Sue Eustice, PHARMD
• Evan Mitchell DDS LLC
• Eric Evans, NP-C
• Taylor Adam Evans, MSPT

• Speech-Language Pathologist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.