Laura Magdalena Dickinson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6604 Issued in NC

Practice address

2030 Harper Ave NW
Lenoir, NC 28645-4953

Phone

(828) 754-3888

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

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

• Laura Magdalena Vandenberghe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1982213070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 TRACY CIR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073867",
            "telephone_number": "828-406-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454953",
            "telephone_number": "828-754-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "LAURA",
        "middle_name": "MAGDALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "VANDENBERGHE",
            "middle_name": "MAGDALENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Barnes Deboard, RDN, LDN, CEDS
• Mark Dellinger
• David Brian Denison Jr., ATS
• John Albert Dew Jr., M. D.
• Miranda Jo Dickens, MSW
• Meredith Ward Dickson, DPM
• Haley Dillard, OTR/L
• Anthony Dixon Jr.
• Brian S Dodd, PAC
• Donald D McNeill MD PA

• Speech-Language Pathologist in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.