Individual provider Active NPI

Laura Jean Salas, MA, CCC/SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1962876862
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110440 Issued in TX
Practice address
12708 Riata Vista Cir Ste a-106
Austin, TX 78727-7174
Phone
(713) 204-7602
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 110440 TX Primary

Addresses

Primary practice location

12708 Riata Vista Cir Ste a-106
Austin, TX 78727-7174

Mailing address

12708 Riata Vista Cir Ste a-106
Austin, TX 78727-7174
Phone (713) 204-7602

Other practice location 1

706A W Ben White Blvd
Austin, TX 78704-7144
Phone (512) 441-5100

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
110440TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962876862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR STE A-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277174",
            "telephone_number": "713-204-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR STE A-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277174",
            "telephone_number": "713-204-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706A W Ben White Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047144",
            "country_code": "US",
            "telephone_number": "512-441-5100",
            "fax_number": "512-441-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.