Active NPI
Laura Beth Walden, M.S., CCC-SLP
- Speech-Language Pathologist
- Saltillo, MS
National Provider Identifier
1841701620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4200
- Practice address
- 2319 Highway 145
Saltillo, MS 38866 - Phone
- (662) 869-9980
- Fax
- (662) 869-9970
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | S4200 | MS | Primary |
Addresses
Primary practice location
2319 Highway 145
Saltillo, MS 38866
Mailing address
199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705
Other practice location 1
1901 Briar Ridge Rd
Tupelo, MS 38804-5903
Phone (662) 844-0675
Other practice location 2
1901 Briar Ridge Rd
Tupelo, MS 38804-5903
Phone (662) 844-0675
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4200 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | 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.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1841701620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N BROOKMOORE DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052024",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 HIGHWAY 145",
"city": "SALTILLO",
"state": "MS",
"postal_code": "38866",
"telephone_number": "662-869-9980",
"fax_number": "662-869-9970"
}
],
"practiceLocations": [
{
"address_1": "1901 Briar Ridge Rd",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388045903",
"country_code": "US",
"telephone_number": "662-844-0675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Briar Ridge Rd",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388045903",
"country_code": "US",
"telephone_number": "662-844-0675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDEN",
"first_name": "LAURA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saltillo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.