Laura Enzendorfer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26055 Issued in CA

Practice address

1299 4TH St Ste 201
San Rafael, CA 94901-3028

Phone

(415) 295-2819

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1851810824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MERCED AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 4TH ST STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013028",
            "telephone_number": "415-295-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Via Casitas",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "94904",
            "country_code": "US",
            "telephone_number": "415-351-7956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Via Casitas",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "94904",
            "country_code": "US",
            "telephone_number": "415-351-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENZENDORFER",
        "first_name": "LAURA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cale Engelhardt, MSPT
• Pamela England
• Elaine Engman, MD
• Julio Cesar Enriquez
• Enterprise Resource Center
• Patricia Epps
• Aisha Amber Ervin, RN
• Lynn Christine Ervin
• Alexander Escobar, PA
• Jose Alfredo Escobar

• Speech-Language Pathologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.