Individual provider Active NPI

Lauren Tandy, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Post Falls, ID
National Provider Identifier
1033534953
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
398 S. Corbin Rd.
Post Falls, ID 83854
Phone
(208) 981-1111
Fax
(208) 908-0060
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2712 ID
Speech-Language Pathologist 235Z00000X LL60691944 WA
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

398 S. Corbin Rd.
Post Falls, ID 83854

Mailing address

398 S. Corbin Rd.
Post Falls, ID 83854
Phone (208) 981-1111

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-2712IDMDSpeech-Language Pathologist
LL60691944WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tandy Therapy LLC Speech-Language Pathologist CurrentSince Aug 28, 2021 Accepting new patients
North Central Educational Service District Past Accepting new patients
Columbia Basin Health Association Past Accepting new patients

Locations

102 W 11th Ave
Ste A
Post Falls, ID 83854
Phone (208) 773-1860

Organizations & group practices 3

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": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1033534953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 S. CORBIN RD.",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-981-1111",
            "fax_number": "208-908-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 S. CORBIN RD.",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-981-1111",
            "fax_number": "208-908-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDY",
        "first_name": "LAUREN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2712",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60691944",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.