Lauren Clark, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3808 Surry Rd
Virginia Beach, VA 23455-1624

Phone

(410) 713-0176

NPI assigned

Dec 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Play by the Bay Therapy

  • Speech-Language Pathologist
  • Virginia Beach, VA
  • NPI 1063135044
  NPD Authorized official

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1043372758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SURRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551624",
            "telephone_number": "410-713-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SURRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551624",
            "telephone_number": "410-713-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20410 Century Blvd",
            "address_2": "NRH Regional Rehab - Suite 215",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208741186",
            "country_code": "US",
            "telephone_number": "301-540-6140",
            "fax_number": "301-540-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LAUREN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HAYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cierra Clark
• Grenville Clark, M.P.T.
• Jessica Michelle Clark, D.D.S.
• Keyana Jade Clark
• Krista Marie Clark
• Lindsay Clark, DPT
• Lisa M Clark
• Margaret Ann Clark
• Meridith Elaine Clark, LPTA
• Michele J Clark, LPC

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.