Active NPI
Lauren Ashley Hazel, OTR/L
- Occupational Therapist
- Lafayette, IN
National Provider Identifier
1003432741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3100705A
- Practice address
- 35 Executive Dr Ste 5
Lafayette, IN 47905-4881 - Phone
- (765) 446-8300
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3100705A | IN | Primary |
Addresses
Primary practice location
35 Executive Dr Ste 5
Lafayette, IN 47905-4881
Mailing address
35 Executive Dr Ste 5
Lafayette, IN 47905-4881
Phone (765) 446-8300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3100705A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Occupational Therapist | Past | 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": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1003432741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EXECUTIVE DR STE 5",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054881",
"telephone_number": "765-446-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EXECUTIVE DR STE 5",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054881",
"telephone_number": "765-446-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "LAUREN",
"middle_name": "ASHLEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "3100705A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.