Individual provider Active NPI

Laura L Diraimo, MA/CCC-SP

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1982841078
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003931-1 Issued in NY
Practice address
3399 Winton Rd S
Rochester, NY 14623-3057
Phone
(585) 334-6000
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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 003931-1 NY Primary

Addresses

Primary practice location

3399 Winton Rd S
Rochester, NY 14623-3057

Mailing address

648 Hills Pond Rd
Webster, NY 14580-4033
Phone (585) 671-5912

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
003931-1NYMDSpeech-Language Pathologist
003931NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes United Cerebral Palsy, Inc. PastSince Jun 26, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1982841078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HILLS POND RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804033",
            "telephone_number": "585-671-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233057",
            "telephone_number": "585-334-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRAIMO",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA/CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003931-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.