Active NPI
Lauren Elizabeth Terrell, M.S., CCC-SLP
- Skilled Nursing Facility
- Millmont, PA
National Provider Identifier
1093076002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SL010444
- Practice address
- 17350 Old Turnpike Rd
Millmont, PA 17845-9334 - Phone
- (570) 922-3351
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SL010444 | PA | Primary |
Addresses
Primary practice location
17350 Old Turnpike Rd
Millmont, PA 17845-9334
Mailing address
17350 Old Turnpike Rd
Millmont, PA 17845-9334
Phone (570) 922-3351
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL010444 | PA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1093076002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 OLD TURNPIKE RD",
"city": "MILLMONT",
"state": "PA",
"postal_code": "178459334",
"telephone_number": "570-922-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 OLD TURNPIKE RD",
"city": "MILLMONT",
"state": "PA",
"postal_code": "178459334",
"telephone_number": "570-922-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "SL010444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.