Individual provider Active NPI

Laura Lee Schrock, SLP

  • Speech-Language Pathologist
  • Bowling Green, OH
National Provider Identifier
1851582845
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3376 Issued in OH
Practice address
200 Health Center Building
Bowling Green State University
Bowling Green, OH 43403-0149
Phone
(419) 372-7183
Fax
(419) 372-8089
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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 SP3376 OH Primary

Addresses

Primary practice location

200 Health Center Building
Bowling Green State University
Bowling Green, OH 43403-0149

Mailing address

200 Health Center Building
Bowling Green State University
Bowling Green, OH 43403-0149
Phone (419) 372-7183

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
SP3376OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1851582845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER BUILDING",
            "address_2": "BOWLING GREEN STATE UNIVERSITY",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149",
            "telephone_number": "419-372-7183",
            "fax_number": "419-372-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER BUILDING",
            "address_2": "BOWLING GREEN STATE UNIVERSITY",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149",
            "telephone_number": "419-372-7183",
            "fax_number": "419-372-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.