Active NPI
Lauryn Bates
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1124508395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11395
- Practice address
- 2302 N 15TH Ave
Phoenix, AZ 85007-1201 - Phone
- (623) 242-6908
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP11395 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP11395 | AZ | Primary |
Addresses
Primary practice location
2302 N 15TH Ave
Phoenix, AZ 85007-1201
Mailing address
7033 W Mercer LN
Peoria, AZ 85345-6032
Phone (815) 494-9094
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP11395 | AZ | MD | Speech-Language Pathologist |
| TSLP11395 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Past | Accepting new patients | |
| Arizona Orthopedic Physical Therapy, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1760025621
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1124508395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 W MERCER LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456032",
"telephone_number": "815-494-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071201",
"telephone_number": "623-242-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "LAURYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP11395",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.