Active NPI
Pamela B Laird, SLP
- Speech-Language Pathologist
- Bastrop, LA
National Provider Identifier
1932204997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4519
- Practice address
- 3867 Bayou Acres Dr
Bastrop, LA 71220-9232 - Phone
- (318) 283-2080
- Fax
- (318) 283-0606
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4519 | LA | Primary |
Addresses
Primary practice location
3867 Bayou Acres Dr
Bastrop, LA 71220-9232
Mailing address
3867 Bayou Acres Dr
Bastrop, LA 71220-9232
Phone (318) 283-2080
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4519 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932204997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3867 BAYOU ACRES DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "712209232",
"telephone_number": "318-283-2080",
"fax_number": "318-283-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3867 BAYOU ACRES DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "712209232",
"telephone_number": "318-283-2080",
"fax_number": "318-283-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "PAMELA",
"middle_name": "B",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.