Laura Amanda Mathews, ED.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S4517 Issued in MS

Practice address

2118 Sandy LN
Laurel, MS 39443-9087

Phone

(601) 577-4885

NPI assigned

Nov 16, 2018

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

Practice roles

Locations

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.

• Insight Speech and Language Center, LLC

  • Speech-Language Pathologist
  • Laurel, MS
  • NPI 1700356441
  NPD Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1912476151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SANDY LN",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394439087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SANDY LN",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394439087",
            "telephone_number": "601-577-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "LAURA",
        "middle_name": "AMANDA",
        "credential": "ED.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Martin
• Sammie Martin, M.S.
• William Scott Martin, D.M.D.
• Donaldo Martinez Vicente
• James H Masters, CIDDT
• Christopher L Mauldin, MD
• Jeremy Mauldin, CRNA
• Kyle Aaron Mauldin
• Tyler May
• Maria Rosario Mbasogo Ebe Eyenga

• Speech-Language Pathologist in Laurel, MS
• Providers in Laurel, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.