Individual provider Active NPI

Pauline Lopez

  • Speech-Language Pathologist
  • Easton, PA
National Provider Identifier
1093468308
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202012163 Issued in VA
Practice address
2640 Fringe LN
Easton, PA 18040-6204
Phone
(484) 892-7598
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 38107 CA
Speech-Language Pathologist 235Z00000X 2202012163 VA Primary
Speech-Language Pathologist 235Z00000X 41YS01136200 NJ
Speech-Language Pathologist 235Z00000X SL015431 PA

Addresses

Primary practice location

2640 Fringe LN
Easton, PA 18040-6204

Mailing address

2640 Fringe LN
Easton, PA 18040-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, CA, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240621000573 PA Practitioner - Qualified Speech Language Pathologist 0547703332 Reassigns benefits to 1 organization
I20240621000704 NJ Practitioner - Qualified Speech Language Pathologist 0547703332 Reassigns benefits to 1 organization
I20241007003640 CA Practitioner - Qualified Speech Language Pathologist 0547703332 Reassigns benefits to 1 organization
I20251029002989 VA Practitioner - Qualified Speech Language Pathologist 0547703332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38107CAMDDentist
41YS01136200NJMDSpeech-Language Pathologist
SL015431PAMDSpeech-Language Pathologist
2202012163VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Aug 10, 2024 Accepting new patients
Expressable Therapy of New Jersey PC Speech-Language Pathologist CurrentSince Aug 10, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Sep 23, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1093468308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 FRINGE LN",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180406204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FRINGE LN",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180406204",
            "telephone_number": "484-892-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38107",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012163",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01136200",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.