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Deactivated NPI 1457880296 Deactivated / Inactive NPI Female Practitioner

Laura Bucknell

Speech-Language Pathologist • Portales, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Laura Bucknell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2017
NPI Deactivation Date April 16, 2026
Total Practice Duration ~9 Years of Practice (2017 – 2026)

Professional Overview & Biography Verified Profile Summary

Laura Bucknell was a registered Speech-Language Pathologist practicing in Portales, NM. Throughout an active medical career spanning 9 years, Laura Bucknell provided care at the practice location at 1604 W 18TH ST until profile deactivation on 2026-04-16.

Practice Location & Contact Primary Location

Practice Address

1604 W 18th St

Portales, NM 881307097

Telephone 5753594719
Associated Practice Facility / Clinic
🏢 Heartland Care Inc. Facility NPI 1477534261

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portales, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Portales, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 5186

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Amy Leal , PTA

Physical Therapy Assistant

NPI 1407384001

Physical Therapist Assistant

Grace Ponto , PTA

Physical Therapy Assistant

NPI 1528539673

Physical Therapist Assistant

Monica Rose Plew , PT

Physical Therapist

NPI 1699023036

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 16, 2026

Record deactivated on April 16, 2026

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2017

Registered at 1604 W 18TH ST, PORTALES, NM 881307097 (Tel: 5753594719)

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Updated Business Mailing Address June 06, 2017

Registered at 1500 S AVENUE K, PORTALES, NM 881307400

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Provider Name / Credentials Updated June 06, 2017

Recorded as LAURA BUCKNELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Speech-Language Pathologist (License #5186 in NM)

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Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457880296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: June 06, 2017
Deactivation Date: April 16, 2026

Mailing Address

1500 S Avenue K

Portales, NM 881307400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.