Individual provider Active NPI

Laura Siewruk, M.S., C.C.C. SLP

  • Speech-Language Pathologist
  • Pompano Beach, FL
National Provider Identifier
1770614976
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8203 Issued in FL
Practice address
1900 Oceanwalk LN Apt 129
Pompano Beach, FL 33062-7649
Phone
(813) 956-6144
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA8203 FL Primary

Addresses

Primary practice location

1900 Oceanwalk LN Apt 129
Pompano Beach, FL 33062-7649

Mailing address

1900 Oceanwalk LN Apt 129
Pompano Beach, FL 33062-7649
Phone (813) 956-6144

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA8203FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1770614976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OCEANWALK LN APT 129",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627649",
            "telephone_number": "813-956-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OCEANWALK LN APT 129",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627649",
            "telephone_number": "813-956-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEWRUK",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "M.S., C.C.C. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.