Carrie Denise Loughran

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10514 Issued in FL

Practice address

4680 Lake Underhill Rd
Orlando, FL 32807-1182

Phone

(407) 852-3300

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optimum Rehab, Inc.

  • Clinic/Center
  • Lake Mary, FL
  • NPI 1285788083
  NPD (past)
• The University of Central Florida Board of Trustees

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1568497527
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144349242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LIVERPOOL CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795638",
            "telephone_number": "407-415-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071182",
            "telephone_number": "407-852-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Middle St Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463594",
            "country_code": "US",
            "telephone_number": "407-323-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Liverpool Cv",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327795638",
            "country_code": "US",
            "telephone_number": "407-415-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHRAN",
        "first_name": "CARRIE",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 955",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002987800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lotus Family Health LLC
• Lotusmindflow Counseling, LLC
• Iraj Ghahreman Lou, M.D.
• Jiselle Louder
• Barry A Loughner, DDS, PHD
• Alisha Louicius, LMHC
• Mailuce Louidor
• Mozorl Louidor
• Louis C Herring & Co
• Louis Stern MD PA

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.