Individual provider Active NPI

Lauren Anne Bozzuto, M.A., SLP

  • Speech-Language Pathologist
  • Brookline, MA
National Provider Identifier
1124388012
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6673 Issued in MA
Practice address
260B Tappan St
Brookline, MA 02445-5309
Phone
(617) 645-2052
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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 6673 MA Primary

Addresses

Primary practice location

260B Tappan St
Brookline, MA 02445-5309

Mailing address

260B Tappan St
Brookline, MA 02445-5309
Phone (617) 645-2052

Other names 1

  • Lauren Anne Lendino Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
6673MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1124388012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260B TAPPAN ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455309",
            "telephone_number": "617-645-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260B TAPPAN ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455309",
            "telephone_number": "617-645-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZUTO",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "credential": "M.A., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LENDINO",
            "middle_name": "ANNE",
            "credential": "M.A., SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.