Individual provider Active NPI

Laura Kateryna McNicholas, M.A. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Hawthorne, NY
National Provider Identifier
1811207921
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019209-1 Issued in NY
Practice address
5 Bradhurst Ave
Hawthorne, NY 10532-2135
Phone
(914) 592-8526
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 019209-1 NY Primary

Addresses

Primary practice location

5 Bradhurst Ave
Hawthorne, NY 10532-2135

Mailing address

91 Strawberry Hill Ave
Apt 428
Stamford, CT 06902-2762
Phone (203) 569-0050

Other names 1

  • Miss Laura Kateryna Semkow Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
019209-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawthorne Foundation, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1811207921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVE",
            "address_2": "APT 428",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022762",
            "telephone_number": "203-569-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRADHURST AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322135",
            "telephone_number": "914-592-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "LAURA",
        "middle_name": "KATERYNA",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SEMKOW",
            "middle_name": "KATERYNA",
            "prefix": "MISS",
            "credential": "M.A. CCC-SLP, TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.