Laura B Graves I, M.S CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2079 Issued in KS

Practice address

6701 W 121St St
Leawood, KS 66209-2003

Phone

(913) 206-7505

NPI assigned

Dec 9, 2015

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

Other names 1

• Mrs. Laura B Wallis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1972978484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-206-7505",
            "fax_number": "913-206-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-206-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LAURA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "M.S CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WALLIS",
            "middle_name": "B",
            "prefix": "MRS.",
            "credential": "M.S CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Gardens of Leawood Assisted Living, Inc.
• Eliza Graham, RBT
• Piper Granger Bordegon, MSW
• Sean Matthew Gratton, MD
• Graves Inc
• Jordan Green
• Mark Alan Greenfield, M.D.
• Nicholas Daniel Gresham
• Shavinder Grewal
• James Griffith, M.D.

• Speech-Language Pathologist in Leawood, KS
• Providers in Leawood, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.