=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003728023
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAURA REAPER CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2026
-----------------------------------------------------
Last Update Date | 09/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MEDICAL CENTER EAST, SOUTH TOWER 1215 21ST AVE. SOUTH, SUITE 7302
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-343-7464
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2118 ACKLEN AVE APT 6
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37212-3531
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-322-5500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 14469829
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------