Individual provider Active NPI

Lauren Walence, SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1033560313
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP001001 Issued in DC
Practice address
4880 Macarthur Blvd NW
Washington, DC 20007-1557
Phone
(202) 333-1403
Fax
(202) 333-1404
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 SLP001001 DC Primary

Addresses

Primary practice location

4880 Macarthur Blvd NW
Washington, DC 20007-1557

Mailing address

4880 Macarthur Blvd NW
Washington, DC 20007-1557
Phone (202) 333-1403

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

LicenseStateTypeSpecialty
SLP001001DCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1033560313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 MACARTHUR BLVD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071557",
            "telephone_number": "202-333-1403",
            "fax_number": "202-333-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 MACARTHUR BLVD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071557",
            "telephone_number": "202-333-1403",
            "fax_number": "202-333-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALENCE",
        "first_name": "LAUREN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.