Individual provider Active NPI

Laura Hall Donovan, SLP

  • Speech-Language Pathologist
  • Auburn, ME
National Provider Identifier
1770757494
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1006 Issued in ME
Practice address
415 Rodman Rd
Auburn, ME 04210-3942
Phone
(207) 376-3022
NPI assigned
Apr 14, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 SP1006 ME Primary

Addresses

Primary practice location

415 Rodman Rd
Auburn, ME 04210-3942

Mailing address

415 Rodman Rd
Auburn, ME 04210-3942
Phone (207) 376-3022

Other practice location 1

85 Middle Rd
Cumberland, ME 04021-3707
Phone (207) 829-8007

Other identifiers 1

IdentifierTypeStateIssuer
432708099MedicaidME

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

LicenseStateTypeSpecialty
SP1006MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John F Murphy Homes, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770757494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RODMAN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103942",
            "telephone_number": "207-376-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RODMAN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103942",
            "telephone_number": "207-376-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "ME",
            "postal_code": "040213707",
            "country_code": "US",
            "telephone_number": "207-829-8007",
            "fax_number": "207-829-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL DONOVAN",
        "first_name": "LAURA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432708099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.