Roberta M. Lasly, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108138 Issued in TX

Practice address

7349 Honeysuckle Ste 100
Temple, TX 76502-5888

Phone

(254) 780-9658

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Pediatric Therapy Works, PLLC

  • Speech-Language Pathologist
  • Temple, TX
  • NPI 1831574185
  Medicare reassignment NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1962060707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 HONEYSUCKLE STE 100",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025888",
            "telephone_number": "254-780-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 HONEYSUCKLE STE 100",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025888",
            "telephone_number": "254-780-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLY",
        "first_name": "ROBERTA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilma I. Larsen, M.D.
• Connor Travis Larson, CRNA
• Emma Larson
• Lynda Lasen
• Donald Christopher Laseur, M.D.
• Tasnim Lat, D.O.
• Bilal Latif, MD
• Regina Ann Latimer, APRN-C,
• Gary Wayne Latson, M.D.
• Jette Laughlin, LCSW

• Speech-Language Pathologist in Temple, TX
• Providers in Temple, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.