Individual provider Active NPI

Jane Ellen Laird, M.A.CCC/SLP

  • Speech-Language Pathologist
  • Saint Marys, OH
National Provider Identifier
1871040303
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3763 Issued in OH
Practice address
1301 W High St
Saint Marys, OH 45885-2077
Phone
(419) 394-2016
Fax
(419) 394-1851
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 SP3763 OH Primary

Addresses

Primary practice location

1301 W High St
Saint Marys, OH 45885-2077

Mailing address

1301 W. High Street
West Intermediate School
St. Marys, OH 45885
Phone (419) 394-2016

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
SP3763OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1871040303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W. HIGH STREET",
            "address_2": "WEST INTERMEDIATE SCHOOL",
            "city": "ST. MARYS",
            "state": "OH",
            "postal_code": "45885",
            "telephone_number": "419-394-2016",
            "fax_number": "419-394-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W HIGH ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852077",
            "telephone_number": "419-394-2016",
            "fax_number": "419-394-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.A.CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.